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Sponsorship & Exhibits Payment Form

MME | Exhibitor Payment Form
If you are paying for more than one conference, please submit the payments separately.

Exhibiting Company Name:

Exhibiting Company Contact:

Virtual Trade Show Booth Coordinator:

Virtual Trade Show Booth Participant 1:

Virtual Trade Show Booth Participant 2:

Sponsorship Selections

Sponsorship Selections

- Product Theater sessions are being assigned on a first-come, first-served basis
- Company must be exhibiting in order to be considered for a Product Theater session
If you are interested in a Product Theater session, please email nicole@mymededco.com to discuss availability before you complete the application.

Sponsorship Opportunities

Billing Information

Please Select *

Make Checks Payable to:

myMedEd, Inc.
518 S. IL Route 31 #194
McHenry, IL 60050
TAX ID: 82-4893155

(Name on card)
(Name on card)
Address - Billing *
Address - Billing
Credit Card - Billing *