Clone of 21st Annual Mobile Health Clinics Conference Exhibitor Request Form

Exhibitor/Sponsor Request Form

22nd Annual Mobile Health Clinics Conference
Thank you for your interest in becoming an exhibitor/sponsor for the 22nd Annual Mobile Health Clinics Conference in Kansas City, Missouri, September 26-28, 2026. Before completing the application/contract, please review the payment information.

Payment Information:

Payment Method – By check only made payable to Mobile Health Clinics Association
- Checks must be drawn on U.S. Bank
- Federal Tax ID # 27-1234557
- A non-profit, 501(c)(3) charitable organization
Please mail your required deposit to:

Mobile Healthcare Association, 2275 Schuetz Road, St. Louis, MO, 63146

Payment Deadline
Payment is due by July 31, 2026

Cancellation Policy
- Cancellation before August 31, 2026 - 50% of the total exhibit fee
- Cancellation after August 31, 2026 - No refund provided.
Company Name:*
Contact Name:*
Title:*
Phone Number:*
Email:*
Address:*
City:*
State:*
ZIP:*
Country:*
Website Address:*
Participant Fee Selection
Exhibit Plan A - Mobile Health Vehicle Display

Corporate Member (Platinum or Gold Level)Corporate Member (Silver or Bronze Level)- $2,500Additional Vehicle Display - $2,500Non-Member Vehicle Display - $5,000
Exhibit Plan B - 10'D x 10'W Booth

Corporate MemberNon-Member - $2,500Non-Profit - $2,000
Additional Conference Exposure - Exclusive Sponsorships

Conference Reception - $20,000Breakfast Sponsor - $15,000Lunch Sponsor - $15,000Networking Break - $10,000Conference Bag - $10,000Charging Station - $10,000Attendee Badge - $10,000Wi-Fi - $10,000
Audio/Visual Policy: Photos and/or recordings of exhibits in the exhibit halls are prohibited unless permission is given by the Association. No other photos and/or recordings in the exhibit hall are allowed except at your own booth. Photography and/or recording are prohibited in Conference sessions by exhibitors.*

Click Here to Acknowledge
By submitting this form, you agree to Privacy Notice & Terms of Use. A copy of the Privacy notice can be viewed at http://www.mobilehca.org/privacy-policy.html. A copy of the Terms of Use can be viewed at https://www.mobilehca.org/termsofuse.html*

Click Here to Acknowledge
Should be Empty:

Exhibitor/Sponsor Request Form

Participant Fee Selection