New Exhibitor Request Form

ACP reserves the right to control all aspects of the Exhibit Hall. ACP specifically reserves the right to determine a company’s eligibility to exhibit. New exhibitors are accepted or rejected on the basis of criteria including, but not limited to, that products or services should be medical in nature, be related to the practice of medicine, have professional or educational benefit, or be acceptable based on the ACP’s Position Paper on Physician-Industry Relations. ACP has the sole right to determine the final eligibility/qualification of any firm, organization, agency, or product for inclusion in the Exhibit Hall.

Note: Items marked with * are required.

Primary Contact:

Title:

Company Name (Legal Billing Name):

Exhibiting As:

Address:

Address 2:

City:

State:

Zip:

Phone:

Email:

Company Website:

What products and/or services does your company provide? Please provide detail:

Are any of these products launching at Internal Medicine Meeting?:

Yes

What are your main objectives for exhibiting?:

List other medical conventions you have exhibited at:

Primary Product/Service Category

Please select the category that best describes your product or service:

Submitting this form does not automatically make you an exhibitor. Rulings of the ACP shall, in all instances, be final with regard to allowed use of exhibit space. This form does not take the place of an official contract and simply indicates your interest in participating.

You are using an unsupported browser