New Exhibitor Request Form

First time exhibitors and companies who have not exhibited with ACP within the past five years are required to submit this form.

ACP reserves the right to control all aspects of the Exhibit Hall. ACP specifically reserves the right, at its sole discretion, to determine a company’s eligibility to exhibit. Eligibility will be 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.

Note: Items marked with * are required.

Contact:

Title:

Company Name:

Exhibiting As (If different than company name):

Address:

Address 2:

City:

State:

Zip:

Phone:

(xxx-xxx-xxxx)

Email:

Company Website:

Company Description:

List with detailed description all products, devices and services that will be promoted to attendees:

Upload PDF: Company/Product Brochures

One file only.
100 MB limit.
Allowed types: pdf.

List other medical conventions you have exhibited at:

Primary Product/Service Category

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

Eligibility ruling will be final and based on the information provided on this form. Any changes to the products, devices and services promoted to attendees must be submitted in writing to exhibits@acponline.org prior to booth installation. This form does not take the place of an official contract and simply indicates your interest in participating.

You are using an unsupported browser