2020 APT Conference - Exhibitor/Sponsor Registration

Sponsor and Exhibitor Registration - CHECK PAYMENT
Contact Person *

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

Area Code Phone Number
Exhibitor Type

$500 Nonprofit Community Partner (e.g. IHS, health departments and small community organizations) - 1 attendee $1000 Exhibitor (e.g. Individual hospitals, Medical Equipment Companies , etc.) - 1 attendee $2500 Sponsor - 2 attendees
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 RN License #
Attendee E-mail *
How would you like your name printed on your badge? *
Additional Attendee (Sponsors Only) *

First Name Last Name
Attendee Credentials
Attendee RN License #
Attendee E-mail *
How would you like your name printed on your badge? *
Exhibit Details

If you have specific needs that are not listed in the Exhibitor Prospectus, please email apt@azperinatal.org. Additional fees may apply.
Will you be conducting a raffle? *

Yes No
Please upload your organization's logo here

Browse Files

Cancel of
Please indicate how you will provide your organization's logo *

Will email logo at a later time We Exhibited in 2019, so you may use the logo on file All set I uploaded it
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 - CHECK PAYMENT