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Exhibitor & Sponsorship Application

24th Annual Fall Conference | November 3, 2018

Thank you for your interest in exhibiting and/or sponsoring at our 24th Annual Fall Conference & Family Weekend. Please fill out the information below and contact Jen Brady at jen@nebrafp.org with any questions or concerns.

**As of June 20, 2018, there is only ONE spot left.


Section 1: Company Information
(Exactly as you wish it to be printed on recognition materials.)
Section 2: Booth Selection
Exhibit Booth Selection and Price
Section 3: Sponsorship Opportunities

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

Please check the items below for which you would like to support. Thank you, in advance, for supporting the NAFP.

Educational Grants
Other Support Opportunities
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 Fall Conference 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
Credit Card Information
Visa MasterCard American Express Discover Diners Club
CANCELLATION POLICY

Cancellation of contract to exhibit must be made in writing to the NAFP. If written notice of cancellation is received before September 1, 2018, a full refund less a $100 administration fee will be made for each exhibit booth that is cancelled. A 50 percent refund will be made for cancellations made after September 1, 2018, but before September 30, 2018. No refunds will be made for cancellations received after September 30, 2018, or for no-show exhibitors. All balances must be paid in full before the exhibit date.