VPMA Exhibit Registration Form 2025

2025 Exhibitor Registration Form

Marriot Virginia Beach Oceanfront| Virginia Beach, VA | August 14 - 17, 2025
If you would like to exhibit at the 2025 Annual Meeting of the VPMA, please complete the following application and submit it no later than July 28, 2025.

All exhibitor fees must be paid in full prior to the conference.

Tax ID: 54-6041722
Company Information
Company Name*
As it will appear on all conference material
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Contact Full Name*
Contact Phone Number*
Please enter a valid phone number.
Contact Email*
example@example.com
Main On-site Contact*

First NameLast Name
Main On-site Contact Email*
example@example.com
Representative 2

First NameLast Name
Email
example@example.com
Representative 3 - Gold Level | 3 registrations

First NameLast Name
Email
example@example.com
Representative 4 - Diamond Level & Product Theater | 5 registrations

First NameLast Name
Email
example@example.com
Representative 5 - Diamond Level & Product Theater | 5 registrations

First NameLast Name
Email
example@example.com
Indicate below companies you DO NOT wish to be near. If none, enter N/A
Exhibitor Directory

For inclusion in the online Exhibitor Directory, please complete the following:
Short Company Description (30-40 words)
High resolution Company logo

Cancelof
Rep Contact Info (include names and email addresses)
Company Website
Social Media Platforms
Payment Information
Exhibit space confirmation, registration and other details will be sent to the main on-site contact person listed above.

Full payment is due no later than July 28, 2025.

Cancellation/Refunds: An exhibitor may cancel or withdraw from the meeting subject to the following conditions: 1) the exhibitor shall immediately file a written notice of intention to cancel or withdraw; 2) if written notice is received 30 days or more prior, the VPMA shall retain a sum of equal to fifty percent (50%) of the total cost of the reserved exhibit space; and 3) no refunds shall be made on cancellations received less than 30 days in advance of the meeting. Cancellations must be received in writing to smcconnell@ramdocs.org to be official.
Payment Type*

Credit CardCheck
Credit Card Payment

If paying via credit card, make your selection below, provide credit card information and click Submit. An email confirmation will be sent. If you have any questions, contact Susan McConnell at smcconnell@ramdocs.org or 804-622-8139.
Check Payment

If paying via check, make your selection below and click Submit. An email confirmation will be sent to confirm receipt of application. If you have any questions, contact Susan McConnell at smcconnell@ramdocs.org or 804.622.8139. Check payments should not include the convenience fee listed for online payment.
Exhibit Level Selection*
Multiple selections can be selected by using CTL and clicking on selection
Check Payment: Make check(s) payable to: VPMA

Send payment to:

VPMA
Attn: Susan McConnell
2821 Emerywood Parkway, Ste. 200
Richmond, VA 23294

Exhibit Opportunities - please choose a level of support (Gold or Diamond). Additionally, you may choose an ADD ON support option.*

Test product

$1.00

Exhibit Opportunities

Gold LevelIncludes one exhibit table | Registration for two representatives | Participation in “Play to Win” where participants visit each exhibit booth and enter a raffle | Listed as Gold Level Contributor in meeting material, website, and Exhibitor Directory Your company’s information in the online Exhibitor Directory (company description, links, representative contact information, etc.) | Attendee list provided in onsite packet | One email blast about company’s attendance at meeting.

$2,000.00

Diamond LevelAll Gold level benefits listed above, but includes registration for three representatives PLUS: Two exhibit table | Priority placement in exhibit hall | Listed as Diamond Level Contributor in meeting material, website, and Exhibitor Directory | Recognized at podium by Society president as Diamond Level Contributor | Two email blasts about company’s attendance at meeting

$3,500.00

Previously RegisteredSelect only if you have previously registered, but you need to select an ADD ON option from the list below.

$ Free

ADD-ON Opportunities

ADD-ON: Refreshment Break SupporterRecognition as Refreshment Break sponsor in all meeting material, both printed and online | Have your company sign greet attendees when they break during sessions | Podium announcement of company support by VPMA President

$3,000.00

ADD-ON: Attendee Bag SupporterCompany name/logo on each attendee's reusable bag | Recognition as reusable bag sponsor in all meeting material, both printed and online | Podium announcement of company support by VPMA President

$1,500.00

ADD-ON: Marketing SupporterCompany advertisement in three meeting marketing emails, VPMA website, and on social media channels | Podium announcement of company support by VPMA President

$1,000.00

ADD-ON: Wi-Fi SponsorRecognition as the exclusive sponsor for the conference Wi-Fi | Company logo will appear on the website, conference emails, and on the Wi-Fi instructional handouts.

$2,000.00

Additional Rep BadgeSelect if you need to pay for additional reps to attend the meeting over and above the number included in your exhibit fee.

$100.00 Quantity

ADD-ON: Product Theater - email SMcConnell@ramdocs.org for availabilityHost a Non-CME Product Theater for attendees. Opportunities include two "Coffee Chats" during breakfast on both Friday and Saturday mornings and two “Lunch & Learns” during the lunch break on both Thursday and Friday. | Company to provide the speaker and cover speaker fees. | VPMA staff will assist with program coordination and execution Includes basic AV (screen, LCD projector, and podium mic), room rental, and meal | Email blast to attendees advertising the event. | Event announcement included on VPMA website | Event included on the printed and online agenda noting the speaker, topic, and your company name/product logo. | Four registrations to all sessions | Digital access to meeting attendee list.

$5,500.00 Product Theater Selection

ADD-ON: Corner BoothAdd $350 to either level of support

$350.00

Enter coupon

Total

$0.00

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2025 Exhibitor Registration Form

Company Information

Exhibitor Directory

Payment Information

Credit Card Payment

Check Payment