Exhibitor Ad File Upload and Guest List

Hello! Thank you for your support during this year's conference. Please use this form to your upload your exhibitor information including each guest's name, professional credentials and level of training. Deadline to submit this information is Wednesday, October 8 at 11:59 pm. If you have any question please contact our Co-Associate Regional Directors via email at region2ard@snma.org

First name

Last name

Phone

What is the primary target audience for your materials?

High school students

Pre-medical students

Medical students

Please upload your institution's logo. Note: This is not for advertisement upload

Exhibitor 1 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 2 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 3 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 4 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 5 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 6 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 7 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 8 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 9 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 10 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 11 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 12 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 13 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 14 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.

Exhibitor 15 - Please enter First Name, Last Name, Professional Credentials (e.g., MPH, MBA, PhD, MD, DO, PGY1), Training level (e.g., Attending, PGY-1, Fellow), and Specialty (e.g., Internal Medicine). Example: Ashley Tate, MD/MBA, PGY-2, Dermatology.