Annual Meeting Sponsor/Exhibitor Registration Page

Ohio AAP 2021 Annual Meeting Exhibit Contract

Annual Meeting Date-October 29, 2021

Networking Hours

1. All exhibitors (virtual and in-person) open at 10:00 am and close at 4:00 pm on October 29, 2021

In-Person Space-Each 6 foot table includes 2 chairs and waste basket. We will appropriately distance tables, and provide sanitation and health materials per CDC guidelines.

Virtual Space Content-Each virtual exhibit includes an exclusive webpage with your company name, logo, video, live links to resources, social media links, website links and contact information.

Cancellation of Exhibit Space-Notification of space cancellations must be made in writing by August 1, 2021. The Ohio AAP’s policy for refund of fees allows an 80% refund IF THE SPACE IS RESOLD. In the event of cancellation, Ohio AAP assumes no responsibility for having included the name of the canceled exhibitor in conference materials.

Staffing-Exhibitors must open their exhibits on time and staff them at all times during dedicated networking hours: 10:00 am to 4:00 pm on October 29, 2021

I would like to sponsor/exhibit as: *

Friend Level Virtual Exhibit - $750

Virtual Non-Profit - $500

Advocate Level Virtual Exhibitor-$3000

Champion Level Virtual Exhibitor-$5000

I would like to register for the Store It Safe Teen Suicide Prevention Fundraiser on Friday, October 29, 2021 from 11:30 am - 1:00 pm. (Registration is free, but optional donations and/or raffle ticket purchases are encouraged.)

1 attendee

2 attendees

3 attendees

4 attendees

5 attendees

I would like to purchase raffle tickets to support the Store It Safe program of the Ohio AAP Foundation.

1 ticket - $10

3 tickets - $20

10 tickets - $50

20 tickets - $100

0 tickets - $0

(Optional raffle ticket purchase. Raffle tickets will be provided the week of November 16 to those with advance purchases; additional raffle tickets will be sold during the Store It Safe Fundraiser November 20. Raffle prizes will be announced in November 2020.)

Please provide the name and email address for each fundraiser attendee; this will be used to provide the webinar joining information.

Company/Organization as you wish it to appear on promotional materials: *

Product or service you will be promoting at event: *

Street Address *

Street Address 2

(Suite/Building/Etc.)

City *

State * ----- Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware 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

Zip Code *

Phone *

Key Contact Information: *

Name

Email *

Email

Key Contact Twitter

Twitter Handle

Name of rep(s) who will be present at the meeting :

Total:

Once signed below, you agree that you are committed and virtual space will be allocated to you at the October 29, 2021 meeting. Should changes occur due to COVID-19, Ohio AAP will provide a new meeting date or reasonable accommodation.

Company Lead Contact *

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