Exhibitor Registration Form

Company/Organization Name *

Contact Person - First Name *

Contact Person - Last Name *

Address *

Address

City

State/Province

Zip/Postal

Country

Phone *

Email *

IAPHS Exhibitor Agreement *

I have read and agree to the IAPHS Exhibitor Agreement (IAPHS Exhibitor Agreement)

Tabletop Exhibit - On-site Representative
The registration fee includes one representative, one 6′ table in an 8′ x 4′ space, continental breakfasts, breaks and entrance to all conference sessions. Additional representatives are welcome to register separately at the IAPHS Member rate.

Unattended Table Exhibit
The registration fee includes one 6′ table in an 8′ x 4′ space. Exhibit materials to be shipped to the onsite staff contact where they will ensure the materials are properly displayed and stocked throughout the conference.

Are you a Non-Profit or For-Profit organization? *

Non-Profit

For-Profit

Exhibit Type - For-Profit *

Tabletop Exhibit - On-site Representative

Unattended Tabletop Exhibit

Exhibit Type - Non-Profit *

Tabletop Exhibit - On-site Representative

Unattended Tabletop Exhibit

On-Site Representative

First Name *

Last Name

Email *

Phone *

Additional Representative

Would you like to register an additional representative?

Yes

Representative First Name *

Representative Last Name *

Additional Table

Would you like to add an additional table?

Yes

Additional table fee: $400.00

Company/Organization Information

Website/URL *

Logo *

Maximum file size: 67.11MB

Payment

Are you an IAPHS 2024 Institutional Member?

Yes

Institution

Payment Type

Credit Card

Check Payment

Total

Credit Card

Check payment details will be included in the confirmation email.

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2024 - Exhibitor Registration

On-Site Representative

Additional Representative

Additional Table

Company/Organization Information

Payment