MENU

70th Annual Meeting & Scientific Assembly | March 22-23, 2018

Section 1: Official Exhibit Representative
(Exactly as you wish it to be printed.)
(This is how the name tags will be printed)
Supporters: Please indicate NA in this box.
Are you a first time attendee?

Section 2: Booth Selection & Price
Please indicate the Number of Booths your Organization needs below
(See exhibit hall floor plan. Placement is done on a first come, first serve basis.)
Please indicate the number of lunches you will need for the Thursday Sit-Down Lunch with Physicians.
(Two meal tickets are already included. ONLY choose this if you need more than 2 meal tickets for $30 each.)
Please indicate the number of lunches you will need for the Friday Sit-Down Lunch with Physicians.
(Two meal tickets are already included. ONLY choose this if you need more than 2 meal tickets for $30 each.)

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.

Would you like to help sponsor this event?

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

$4,000
$3,000
$2,000
$1,500
$1,000
$750
$500
$250
(Numbers only, i.e., 4000.)
Would you like to support the NAFP Foundation by donating an item to the Steve Thomas Memorial Silent Auction being held within the exhibit hall?
(If you indicated yes, a follow up email will be sent to the email provided above.)

Section 4: Authorized Agent and Method of Payment
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.
Payment Option
If you select the Pay Later option, you will receive an Invoice due to the NAFP Office within 30 days.
NAFP Secure Payment Form
Credit Card Information
Visa MasterCard American Express Discover Diners Club
Your total payment will be
CANCELLATION POLICY

All cancellations must be made in writing to the NAFP. If an exhibitor cancels before January 25, a $100 administrative fee will be retained by or owed to the NAFP. If an exhibitor cancels after January 25 but before March 3, 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 3 or for no-shows.