VPMA 2023 - Exhibits

Important Notices

• By completion and return of the Exhibit Registration Form to the Virginia Podiatric Medical Association, you agree to adhere to the rules and regulations as outlined in the RULES AND REGULATIONS GOVERNING THE EXHIBIT REGISTRATION FORM. Failure to conform or comply could jeopardize invitations to participate in future programs. It is the responsibility of the individual completing this form to advise EACH representative of the RULES AND REGULATIONS.

  • I agree

• Refunds, minus a $100 administrative fee, will be available with written notice provided before July 7, 2023. No refunds will be offered or issued after that date.

  • I agree

• The primary contact indicated above is responsible for providing notice to all attending company representatives of changes and regulations relating to this event, including COVID-related requirements.

  • I understand.

• The following corner booths incur additional fees: 21, 26, 27, 32, 33, 38, 39, 44, 45, 50, 51, 60. Please make your selection accordingly.

Company Information

• * Company Name:
• *

  Will the company contact attend:

  • yes
  • no
• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• Please indicate three booth choices. The following corner booths incur additional fees: 21, 26, 27, 32, 33, 38, 39, 44, 45, 50, 51, 60.

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Single Exhibit Space $1,800.00 after Friday, July 7, 2023	$1,700.00
  Single Exhibit Space CORNER $2,100.00 after Friday, July 7, 2023	$2,000.00
  Double Exhibit Space $3,300.00 after Friday, July 7, 2023	$3,100.00
  Educational Sponsor: Single Space $1,800.00 after Friday, July 7, 2023	$1,700.00
  Educational Sponsor: Double Space $3,300.00 after Friday, July 7, 2023	$3,100.00

Representatives Information

You may add a maximum of 4