Registration: 2017 Heartland Foot and Ankle Conference - Exhibitor Only

Thanks for your interest in exhibiting at the IPMS Heartland Foot & Ankle Conference. If you are also interested in a sponsorship opportunity, please click here to complete the Sponsor & Exhibitor Form.

Booth exhibitors receive one 8x10 booth space area, one 8ft table, two chairs, one wastebasket, one vendor sign, a final registration list of attendees, and opportunities to network with current and future clients.  If you would like to reserve more than one booth, please contact the IPMS office, 515-282-8192.

 

Please note electricity is not included in your fee. If you need electricity for your display, there is a $40 additional charge. Please check the box on your registration form.

 

If you wish to partner with IPMS through an educational grant, please contact the IPMS office, 515-282-8192.

USER INFORMATION
Title:
First Name:
Last Name:
Company:
Work Address:
Work Address 2:
Work City:
Work State:
Work Zip:
Country:
Email:
Confirm Email:
Work Phone:
Fax:
Website:
Onsite Contact (if different from above):
Onsite Contact Cell Phone:
Onsite Contact Email:
Please list names and cities of additional representatives:
Specific Products or services to be exhibited (check all that apply):
Ambulatory Devices
Billing: Software or Services
Business Services
Chairs and other Podiatric Equipment
Compounding Pharmacy/Lab
Computer Software
Implants & Surgical Devices
Instruments
Laboratory & Diagnostic Services
Medical Supplies
Office Supplies
Orthotics & Corrective Devices
Pharmaceuticals
School & Associations
Shoes
Skin Care Treatment/Therapy Modalities
Wound Care
Other
If your product doesn't fit into one of the above categories, please provide a category here:
Please list any competitors you do not wish to be placed next to (not guaranteed):
Will you need electricity for your booth:
Yes ($40)  No  
Would you like to purchase ad space in our onsite program (Ad copy must be submitted by Sept. 1):
Full page ($1,200)  
Half page ($850)  
Quarter page ($550)  
1/8 page ($400)  
No ad space needed  
Please upload a copy of your logo here:
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