Exhibitor and Sponsorship Application

69th Annual Meeting & Scientific Assembly

Section 1: Official Exhibit Representative
*REQUIRED
(Exactly as you wish it to be printed.)
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
(This is how the name tags will be printed)
Supporters: Please indicate NA in this box.

Section 2: Booth Selection & Price
*REQUIRED
(See exhibit hall floor plan. Placement is done on a first come, first serve basis.)
To see which booths have already been taken, copy this link into a new window: https://docs.google.com/document/d/1_tOfG0GDvccoGYC-FhBIm0vLOLwq-ZHSBf9vZV4GHv8/edit?usp=sharing
*REQUIRED
*REQUIRED

Section 3: Additional Sponsorship Opportunities

The following opportunities are available for your company to support conference activities.Your support will be recognized in the meeting program, through signage and announcements at the event, and in the Cornhusker Family Physician. Thank you, in advance, for your support.

*REQUIRED

If you indicated you would like to sponsor, how would you like to see your contribution applied?

*REQUIRED
(Numbers only, i.e., 4000.)
(Description and value of item)

Section 4: Authorized Agent and Method of Payment
*REQUIRED
I have read and understand the conditions of this contract. By signing below I am indicating my company’s agreement to abide by the NAFP’s rules and regulations for exhibitors and/or sponsors as the same may be amended from time to time. I accept responsibility for informing all of our representatives of these conditions and for ensuring that they will abide by them also. I further understand the cancellation policy.
*REQUIRED
If you select the Pay Later option, you will receive an Invoice due to the NAFP Office within 30 days.
NAFP Secure Payment Form
*REQUIRED
*REQUIRED
Visa MasterCard American Express Discover Diners Club
*REQUIRED
/
*REQUIRED
? Visa®, Mastercard®, and Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.
*REQUIRED
CANCELLATION POLICY

All cancellations must be made in writing to the NAFP. If an exhibitor cancels before February 1, a $100 administrative fee will be retained by or owed to the NAFP. If an exhibitor cancels after February 1 but before March 10, the exhibitor will forfeit or owe 50% of the total cost of the space assigned. No refunds will be made for cancellations made after March 10 or for no-shows.