APT Conference - Exhibitor/Sponsor Registration

2025 Annual Perinatal Conference

Sponsor and Exhibitor Registration Form
Business/Company Name*
Type of Business*
Contact Person*

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

Area CodePhone Number
Affiliation
i.e. - Health System, Small Non-Profit, School, Medical Equipment, Medical Supplies
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Attendee *

First NameLast Name
Attendee Credentials
Attendee RN License #
Attendee E-mail*
How would you like your name printed on your badge?*
2nd Attendee (Sponsors Only)*

First NameLast Name
2nd Attendee Credentials
2nd Attendee RN License #
2nd Attendee E-mail*
How would you like your name to be printed on your badge*
Exhibit Details

If you have specific needs that are not covered in the Exhibitor Prospectus, please contact apt@azperinatal.org. Additional fees may apply.
Please indicate how you will submit your organization's logo:*

We exhibited in 2024, so you may use the logo on fileAll set, I uploaded it below!Will email a logo at a later date
Please upload a Hi-Res copy of your logo here.

Browse Files
*.png is preferred, but a .jpeg is acceptable. Cancelof
Will you be providing an item/basket to raffle off at the end of the conference?
*This question pertains to the raffle we provide tickets for at the closing of the conference, not if you are holding your own raffle.
Do you need an electrical outlet? (A communal mobile phone charging station will be provided.)*

Yes, I have equipment required for my demonstration - $50 feeNo, I will use the phone charging station provided by the venue - No fee
Payment Type*

CheckCredit Card
Exhibitor/Sponsor Type - Check Payment*

$2500 - Sponsor (2 Attendees)$1000 - Exhibitor (1 Attendee) - (e.g., Individual Hospitals, Medical Equipment Companies, Universities)$500 - Nonprofit Community Partner (1 Attendee) - (e.g. IHS, health departments and small community organizations)
Conference Items

$2500 - Sponsor (2 Attendees)$1000 - Exhibitor (1 Attendee) e.g. Individual Hospitals, Medical Equipment Companies, Higher Education Institutions$500 - Non-Profit Community Partners (1 Attendee) e.g. IHS, health departments, small non-profits, small community organizations$50 - Electrical Outlet Fee (for equipment)
When you click "Submit Registration", you will receive an email with mailing instructions for your check. If you have selected to add an electrical outlet for your equipment at your booth, please include the additional $50 in your total check amount.
Select Conference Vendor Type*
prevnext( X )
Sponsor (2 Attendees)$2,500.00

Exhibitor (1 Attendee)$1,000.00
(e.g. Individual Hospitals, Medical Equipment Companies, etc.)

Nonprofit Community Partner (1 Attendee)$500.00
(e.g. IHS, health departments and small community organizations)

Electrical Outlet$50.00
Charge for an electrical outlet at your table.

Total $0.00
When you click "Submit Registration", you will be redirected to the PayPal login.
IF YOU HAVE a PayPal account, login and complete your payment.

IF YOU DO NOT HAVE a PayPal account, select the button, on the bottom of the PayPal login form, labeled "Pay with Credit or Debit Card."

IF YOU WANT TO PAY BY CHECK, scroll up and select the Payment Method "Check."
Refunds will not be issued for Exhibitors who fail to occupy their space. Should you have any questions about your registration you can email apt@azperinatal.org.
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

2025 Annual Perinatal Conference

Exhibit Details