Clone of CLD 2025 Exhibit Registration Form

12th Annual Children’s Hospital of Philadelphia Chronic Lung Disease Conference

March 10-11, 2026
Hilton Philadelphia at Penn’s Landing

201 South Columbus Blvd., Philadelphia, PA 19106
This form is to be completed by the exhibitor:
Contact Person*
Company Name:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tel*
Fax
Date:

MonthDayYear
Date
Phone Number*
E-mail:*
example@example.com
EXHIBIT DETAILS

One 6' display table in exhibit hall; company name on vendor recognition signage; breakfast and lunch for up to two company representatives. Time has been allotted in the agenda for attendees to visit the exhibit halls.

Please provide the attending exhibitor name and email information:
Name*

First NameLast Name
Email*
example@example.com
Name

First NameLast Name
Email
example@example.com
EXHIBIT DATES AND TIMES:

Tuesday, March 10, 2026 - 7:00 a.m. — 5:00 p.m.

Wednesday, March 11, 2026 - 7:00 a.m. — 5:00 p.m.
Do you need electricity for your exhibit table?*
EXHIBIT OPPORTUNITIES:
Exhibit Table - $1,500 *
One 6' skirted table and 2 chairs in exhibit area; company name on vendor recognition signage; breakfast and lunch for two company representatives.
Attendee Registration Materials Insert - $500 *
Showcase your product information in the conference syllabus to attendees. Please upload a PDF of your insert at the end of this form. (One page, double-sided maximum). All materials must be submitted no later than Monday, February 16, 2026
Total Exhibit Amount:
CHOP Tax I.D.#: 23-1352166

We accept Visa, Mastercard, American Express, Discover, and checks. You will receive an email from the Children’s Hospital of Philadelphia containing a secure link to submit the exhibit fee payments. If you do not receive the link within five business days, please contact the CME Office at 215-590-5263.

If paying with a check, please make check payable to:
Children’s Hospital of Philadelphia
Continuing Medical Education Department (CME)
34th Street & Civic Center Blvd.,
Philadelphia, PA 19104
Attention: Catrice Butler, CME Department
Phone: 215-590-5263
Attendee Registration Material Insert

Please upload a PDF of the insert.
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Upload Logo

Please upload your company logo (max 2MB, jpg,png or bmp format only)
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SHIPPING AND RECEIVING

If you are sending materials to the Hilton Philadelphia at Penn's Landing prior to the conference, please send materials no earlier than March 9, 2026 to the attention of:

Anita Sequeira
Assistant Director of Catering
Hilton Philadelphia at Penn's Landing
201 S. Columbus Boulevard
Philadelphia, PA 19106
"Hold for CHOP - Chronic Lung Disease Conference – March 10-11, 2026"

Please Note: Children’s Hospital of Philadelphia/CME Department will not be responsible for receiving/storing/transporting of any exhibit materials. Company representatives are responsible for their own shipping/receiving handling fees. Representatives are also responsible for labeling and calling for a return pickup of all materials at the end of the event.
Should be Empty:

12th Annual Children’s Hospital of Philadelphia Chronic Lung Disease Conference