Registration: 2017 Heartland Foot and Ankle Conference - Sponsor & Exhibitor

Thank you for your interest in partnering with IPMS as an event sponsor for our Heartland Foot & Ankle Conference!  Please take the time to review the sponsor levels and corresponding benefits below.  Please click here to view or download a copy of our sponsorship opportunities.

sponsorship opportunities

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
First Name:
Last Name:
Company:
Work Address:
Work Address 2:
Work City:
Work State:
Work Zip:
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  
Please upload a copy of your logo here:
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Sponsor Level:
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