Exhibitor Contract
University of Florida College of Medicine
Heart Failure Management 2024
July 18-21, 2024 | Omni Amelia Island Hotel | Amelia Island, FL
Exhibitor Information
Please only fill out this contract once you have final approval from your company.
Company
If different than above, what company name should we use to acknowledge your exhibit sponsorship? Please note we cannot use drug names for acknowledgement purposes.
Address
City
State
Please select...
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
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
Contact Person
Email
Phone
Fees
Please refer to the exhibit prospectus for level descriptions
Please select the button with your level of participation:
Exhibit Length:
Full Conference Exhibit
Individual Day(s) Exhibit
Gold Exhibit - $12,500
Silver Exhibit - $7,500
Bronze Exhibit - $5,000
1 Day Exhibit - $2,000
2 Day Exhibit - $3,500
3 Day Exhibit - $4,500
Thursday, July 18, 2024
Friday, July 19, 2024
Saturday, July 20, 2024
Sunday, July 21, 2024
Choice of
2
:
Break Advertisement
Poster Stand Charging Kiosk
Half Page Ad in Final Program Booklet
Full Page Ad/Insert in Welcome Folder
Choice of
1
:
Break Advertisement
Poster Stand Charging Kiosk
Half Page Ad in Final Program Booklet
Representatives Attending
If you are not sure of the representatives attending, please list TBD. If you are bringing less than the number of representatives included with your exhibit level, please list N/A in remaining boxes.
Name
Email
Name
Email
Name
Email
Name
Email
Will you need Electrical Services (if available)
Yes
No
Please note that if your electrical needs are basic, we will make every effort to place you near an outlet, however it is not guaranteed. Bringing an extension cord is recommended.
If you need more than a basic plug in, all additional electrical needs will need to be contracted through the hotel and are the responsibility of the exhibitor.
Additional Questions
Who is your target audience?
Physicians
NP's and/or PA's
Pharmacists
Nurses
What factors influenced your company's decision to exhibit?
Exhibit Fee
Target Audience
Speakers
Other
Other factors that influenced your decision:
Payment Information
Payment made online (
Website
)
Check
Check Mailed On:
Checks should be made payable to: University of Florida (tax ID # 59-6002052)
Send check to: University of Florida CME Office, PO Box 100233, Gainesville, FL 32610
The University of Florida's W-9 can be found at
https://heartfailure.cme.ufl.edu/exhibits/
By signing below,
you have final approval from your company
, and are securing your space at Heart Failure Management 2024. Payment will be required if your exhibit is cancelled after June 18, 2024 (30 days before). Exhibitors agree to hold the University of Florida harmless from and against any and all claims and damages arising out of exhibitors’ negligence or willful misconduct as a result of exhibitors exhibiting at Heart Failure Management 2024 on July 18-21, 2024, in Amelia Island, FL. Exhibitors also agree to abide by policies and regulations of the venue, the Omni Amelia Island.
Please enter your full name.
Date
Title
For any questions, please email Gianna Gamache:
ggamache@ufl.edu
or call 352-733-0155
The University of Florida reserves the right to deny the request of service to any company that may be in conflict with the interests of our organization.
Contact Information