2025 PAMED HOD Exhibitor Registration

2025 PAMED HOD Exhibitor Registration
Company Name*
(write name as it should be displayed in materials)
Contact Name*

First NameLast Name
Contact Phone*
Please enter a valid phone number.
Contact Email*
All information pertaining to the meeting will be sent to this email address .
Upload Logo*

Cancelof
Brief Company Description*
Company URL*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registration Type (You are able to Select more than one Option)*

Exhibitor ($1750)Silver Sponsor ($3,000)Gold Sponsor ($4,000)Unrestricted Educational Grant - CME Program ($1,500)Sunday Grab N Go Breakfast Sponsor ($2,500)Lanyard Sponsor ($3,000)Friday PAMED Social Sponsor ($5,000)Saturday Community Breakfast Sponsor ($5,000)Saturday Lunch Sponsor ($5,000)Saturday PAMED Social Food Sponsor ($5,000)Meeting WiFi Sponsor ($10,000)Hotel Key Card Sponsor ($10,000)Friday and Saturday PAMED Social Bar Sponsor ($15,000)Existing PAMED Partner (paid annual sponsorship)PAMED Family (Internal)Non-Profit Exhibit Table (501c3 documentation required) ($750)
Balance Due (USD)
How would you like to Pay?*

Check (Address below)Credit CardOther
Balance Due

Make Check payable to Pennsylvania Medical Society

Mail to:

Pennsylvania Medical Society
400 Winding Creek Blvd.
Mechanicsburg, PA 17050
Upload Tax Determination Letter (501c3 Documentation)*

Cancelof
Rep Name(s)*
Exhibit table includes up to (2) on-site reps.
Do you need access to electricity at your table?*

YesNo
Number of people attending Friday PAMED Social
Max of (2)
Number of Easels
IT Needs
If you need additional equipment other than your own laptop, please describe your needs above. Your department will incur any additional fees associated.
Additional Setup Requests (location or configuration of tables)
Should be Empty: