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.

You may receive an error on your screen following payment. If you do, please check your email to see if you’ve received confirmation of your registration. If you have, no further action is required. We are looking into this error and appreciate your patience!

USER INFORMATION
Title:
First Name:
Last Name:
Company:
Work Address:
Work Address 2:
Work City:
Work State:
Work Zip:
Country:
Primary 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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