Vendor Registration

Please complete this form to register your exhibit booth and sponsorship for the 2023 Great Lakes Conference. Once your registration is received, you will be contacted to begin preparing for your participation in the conference. For assistance, please contact Geri Root, MPMA Director of Events at 517-999-8751 or geri@kdafirm.com.

To view the MPMA 2023 Great Lakes Conference Vendor Brochure, click here.

Company *

Contact First Name *

Contact Last Name *

Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Please select the item that best describes your products or services. *

If you selected "other," please describe

Great Lakes Conference Exhibit and Corporate Partnership

Conference Exhibitor ($900)

Bronze Corporate Partner ($1,200)

Silver Corporate Partner ($3,000)

Gold Corporate Partner ($4,500)

Platinum Corporate Partner ($7,000)

Diamond Corporate Partner ($10,000)

Preferred Booth Location

MPMA will assign booth locations. Please enter your top 3 preferred locations from the available choices below. Booth assignments will be made based on receipt of registration and full payment. Click here to view exhibit diagram on page 4.

Do you need electricity? *

Yes - Electricity ($60)

No - Electricity

Preferred Location 1 *

Preferred Location 2 *

Preferred Location 3 *

Company Representatives Registration

All attendees must wear a badge to be present at the conference. You may register up to 4 representatives to attend your booth. Registration includes breakfast and breaks.

Lunch on Saturday will be delivered to exhibit booths for an additional fee and must be ordered by February 17. The doctors will receive their lunch in the exhibit hall on Sunday. Lunch is included for up to two representatives on Sunday, but must be pre-ordered by February 17.

It is important to include each representative's individual email address so they receive important communication to assist with their participation on site.

How many representatives will attend? *

Representative 1: First Name *

Representative 1: Last Name *

Representative 1: Email Address *

Representative 1: Saturday, February 25 Lunch
Pre-ordered lunches will be delivered to your exhibit booth. *

Yes, please deliver a lunch for this representative ($25)

No, a lunch is not required on this day

Representative 1: Sunday, February 26 Lunch
Your lunch will be available in the exhibit hall. *

Yes, I would like to order lunch using 1 of 2 comp lunches

Yes, please deliver a lunch for this representative ($25)

No, a lunch is not required on this day

Representative 1: Dietary Allergies and Restrictions

Representative 2: First Name *

Representative 2: Last Name *

Representative 2: Email Address *

Representative 2: Saturday, February 25 Lunch
Pre-ordered lunches will be delivered to your exhibit booth. *

Yes, please deliver a lunch for this representative ($25)

No, a lunch is not required on this day

Representative 2: Sunday, February 26 Lunch
Your lunch will be available in the exhibit hall. *

Yes, I would like to order lunch using 1 of 2 comp lunches

Yes, please deliver a lunch for this representative ($25)

No, a lunch is not required on this day

Representative 2: Dietary Allergies and Restrictions

Representative 3: First Name *

Representative 3: Last Name *

Representative 3: Email Address *

Representative 3: Saturday, February 25 Lunch
Pre-ordered lunches will be delivered to your exhibit booth. *

Yes, please deliver a lunch for this representative ($25)

No, a lunch is not required on this day

Representative 3: Sunday, February 26 Lunch
Your lunch will be available in the exhibit hall. *

Yes, I would like to order lunch using 1 of 2 comp lunches

Yes, please deliver a lunch for this representative ($25)

No, a lunch is not required on this day

Representative 3: Dietary Allergies and Restrictions

Representative 4: First Name *

Representative 4: Last Name *

Representative 4: Email Address *

Representative 4: Saturday, February 25 Lunch
Pre-ordered lunches will be delivered to your exhibit booth. *

Yes, please deliver a lunch for this representative ($25)

No, a lunch is not required on this day

Representative 4: Sunday, February 26 Lunch
Your lunch will be available in the exhibit hall. *

Yes, I would like to order lunch using 1 of 2 comp lunches

Yes, please deliver a lunch for this representative ($25)

No, a lunch is not required on this day

Representative 4: Dietary Allergies and Restrictions

Company Website Address *

Company Insert in Registration Materials

Company Insert - Conference Exhibitor ($100)

Company Insert - Corporate Partner (Complimentary)

Conference Program Advertisement

Full Page Ad ($500)

Half Page Ad ($300)

Conference Program Advertisement - Conference Exhibitor

Full Page Ad ($375 - discounted rate)

Half Page Ad ($225 - discounted rate)

Conference Program Advertisement - Bronze, Silver, Gold Corporate Partners

Full Page Ad ($200 - discounted rate)

Half Page Ad (Complimentary)

Conference Program Advertisement - Platinum and Diamond Corporate Partners

Full Page Ad (Complimentary)

Additional Sponsor Opportunities
Many of these sponsor opportunities have only one opportunity available. You will be contacted to confirm the sponsorship. If you have questions about availability, please contact the MPMA office.

Registration Bags ($1,500 or in-kind)

Lanyards ($750 or in-kind)

Notepads ($750 or in-kind)

Pens ($600 or in-kind)

Approximately 300-400 bags will be needed. Will you provide the registration bags or will MPMA purchase the bags with your logo imprinted? *

My company will provide the bags to MPMA.

MPMA will purchase the bags for my company.

Approximately 300-400 lanyards will be needed. Will you provide the lanyards or will MPMA purchase the lanyards with your logo imprinted? *

My company will provide the lanyards to MPMA.

MPMA will purchase the lanyards for my company.

Approximately 300-400 notepads will be needed. Will you provide the notepads or will MPMA purchase the notepads with your logo imprinted? *

My company will provide the notepads to MPMA.

MPMA will purchase the notepads for my company.

Approximately 300-400 pens will be needed. Will you provide the pens or will MPMA purchase the pebs with your logo imprinted? *

My company will provide the pens to MPMA.

MPMA will purchase the pens for my company.

Company Logo
Please upload a high resolution file of your company's logo. Preferred format is JPG or EPS. We cannot use files saved from websites, scanned logos, or word documents.

On-Site Program Advertisement
Advertisements are due January 27, 2023. You may upload your advertisment now or email by January 27 to geri@kdafirm.com. For more information about advertisement size and acceptable formats, please refer to page 2 of the vendor brochure.

Current Total:

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