ACPOC Industry Partner Spotlight

ACPOC Industry Partner Spotlight
ACPOC would like to thank our Industry Partners! You are essential to achieving our mission of improving quality of care for patients. In each ACPOC News Issue, we would like to recognize a Industry Partner on their story of how your company came to be, a new product you you want to share or share or a parent/patient who has a compelling story you would like to share. These featured Industry Partners are highlighted in our ACPOC news, social media channels, and on the ACPOC website.

If you would like to nominate yourself or others, please submit your information and a photo.
Company*
Name*

First NameLast Name
Email*
example@example.com
Company Logo*

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About the Company*
Why did you chose ACPOC as an Industry Partner?*
Personal Parent/Patient Story Advocating your Products
Pictures to compliment ACPOC sponsorship

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Standard Photo Release Form

I hereby authorize the Association of Children’s Prosthetic-Orthotic Clinics to publish the photographs of me, and my name, for use in ACPOC’s publications, website and social media accounts.

I acknowledge that since my participation in publications, websites and social media accounts produced by ACPOC is voluntary, I will receive no financial compensation.

I further agree that my participation in any publication, website and social media accounts produced by ACPOC confers upon me no rights of ownership whatsoever. I release ACPOC, its contractors and its employees from liability for any claims by me or any third party in connection with my participation.
Signature*

Clear
Date*

MonthDayYear
Date
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