2020 APT Conference - Exhibitor/Sponsor Registration

Sponsor and Exhibitor Registration - PAY BY CHECK
Contact Person *

First Name Last Name
Contact Person E-mail *
Contact Person Phone Number *

Area Code Phone Number
Exhibitor Type

Non Profit (1 attendee) $400 For Profit (1 attendee) $800 Conference Sponsor (2 attendees) $2000
Affiliation *
Health System, Organization, Hospital, Company
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Attendee

First Name Last Name
Attendee Credentials
Attendee E-mail
Additional Attendee (Sponsors Only)

First Name Last Name
Attendee Credentials
Attendee E-mail
Exhibit Details
Will you be conducting a raffle? *

Yes No
Logo and Artwork for your booth

Your organization logo and any additional banner artwork will be submitted directly to Kovention (the conference venue). Instructions will be provided, and the APT office will assist in this process.
No refunds will be issued for Exhibitors who fail to occupy their virtual space. Should you have any questions about your registration, email kathleen@azperinatal.org.
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Sponsor and Exhibitor Registration - PAY BY CHECK