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Online Registration Form

Exhibitor/Sponsor - LPMA/MPA 2020 Annual Spring Meeting

Please enter your information on the form below to Register and Pay for the Exhibitor/Sponsor - LPMA/MPA 2020 Annual Spring Meeting.

First Name*

Last Name*

Company Name

Contact Email*

Address*

City*

State*

Zip*

Contact Phone*

Cell Phone

Fax

Participating Representatives (Limit 2)

Please list the names and email address(es) of the representatives who will exhibit:

EXHIBIT ONLY

• $1000
  Virtual table/2-minute recorded video presentation/live chat with participants during Friday Reception and Saturday during designated Exhibit Time & Breaks

EXCLUSIVE SPONSORSHIPS

• Friday AM Break $750

• Friday PM Break $750

• Friday Breakfast $3,000

• Saturday AM Break $750

• Saturday PM Break $750

• Saturday Breakfast $3,000

• Sunday Breakfast $3,000

• Sunday AM Break $750

Resource Directory E-binder:

• $500
  (provided to each attendee)
  Full page in event program with company logo/contacts/photos/phone numbers/Email Addresses

Banner Ad

• $500
  Approx. 1.5” x 2.5” company logo ad listed on landing pages within the virtual platform (separate from CME)

Get ALL 3 Options at a Discount!

• $1750
  (Exhibiting/Full Page ad/Business card size banner ad)

Total Amount

$

Payment method

Credit/Debit Card

Credit Card Number*

Expiration Date*

01 02 03 04 05 06 07 08 09 10 11 12 / 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031

Card (CVV) Code*

Card Type*

Visa MasterCard Discover American Express

Card Holder Name*

Verification code*

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