2025 Annual Meeting Sponsor Application

Sponsor Application

Application deadline: June 30, 2025. All sponsors subject to approval by the FMA.
Company Name*
Contact*
Agency Name (if applicable)
Contact
Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email Address*
example@example.com
Phone*
Authorized Signature*

Clear
Date*

MonthDayYear
Date
What sponsorship are you interested in?*

Bronze Sponsor $4,000Silver Sponsor $10,000Gold Sponsor $15,000Platinum Sponsor $25,000Nonprofit or Government Agency
Other Sponsorship Opportunities

Room Drop (contact us for more details)Coffee and Tea Sponsor $5,000Kindness for Cats (Contact for details)Lunch Sponsor and Product Theaters $15,000
David A. Paulus, MD Poster Symposium Sponsorship

$4,000Up to $7,500$10,000
I am a nonprofit or government entity*
I want to contribute a prize to the "Exhibitor Prize Passport."*
BOG Lunch Meeting Sponsor

$7,500
ADA: In accordance with ADA requirements, if you are disabled and require special services, please check here. Someone from our office will contact you.
For a customized plan, contact Jacqueline Williams at jwilliams@flmedical.org.

Discounts are also available on multi-advertising and/or sponsorship contracts.
Please provide a 20 word description of your company's product(s) and/or service(s) with this application. Your application cannot be processed without a description. Please type or print legibly. The FMA reserves the right to edit your company's description.*
PAYMENT INFORMATION
Payment type*

CheckMasterCardVisaAMEXInvoice MeACH
Card #
Name on Card
Expiration Date
Security Code
Signature

Clear
Make check payable to Florida Medical Association and mail to:

Florida Medical Association, Inc.
ATTN: Jacqueline Williams
1430 E. Piedmont Drive
Tallahassee, Florida 32308
PLEASE NOTE
Your sponsorship will not be confirmed until payment is received. Your application will be reviewed by the FMA. If accepted, a confirmation letter will be sent to you. If you have questions regarding your application, please contact Jacqueline Williams at jwilliams@flmedical.org.
CANCELLATION/REDUCTION OF BOOTH SPACE
All cancellations and reductions of booth space must be made in writing. Cancellation or reduction of booth space may be made with a $500 fee per booth imposed prior to June 20, 2025 for the Annual Meeting.

Cancellations/reductions received after the above dates will result in 100% of the total booth fee being collected or retained by the FMA.
Should be Empty:

Sponsor Application

PAYMENT INFORMATION

PLEASE NOTE

CANCELLATION/REDUCTION OF BOOTH SPACE