ANA Exhibitor Contract

ANA Exhibitor Application

Please complete this application to exhibit at ANA functions and events. Some functions may also allow live streaming opportunities for the company representative. This will allow for greater exposure to event attendees in person and virtually. For ANA sponsorship opportunities please contact us at info@naprapath.org We appreciate the opportunity to learn more about your products and services.

EXHIBITOR APPLICATION

Hello… We appreciate your interest and involvement in our upcoming event. Please complete our exhibitor application to help us get better acquainted with you and the company you are representing.

Name of Business or Company *

Enter the name of the entity, individual(s), partners or corporation; followed by any other name used to do business (DBA).

Representative or Contact Person Name *

First

Last

Representative or Contact Person Title *

Business or Company Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Enter the physical address for the main office.

Business or Company Email *

This may also be the email for the representative or contact person

Business or Company Phone *

This may also be the email for the representative or contact person

Please Tell Us About the Product or Service *

Also feel free to email information about your product or service to info@naprapath.org

Please Tell Us the Name of Event and Date of Event You are seeking *

Feel free to ask the member or affiliate who invited you

ATTESTATION AND SIGNATURE

The undersigned hereby certifies that the foregoing statements are true and correct and included all of the material necessary to identify and explain the operation of the business described herein. The undersigned agrees to provide the ANA with current, complete and accurate information for each project contracted and for all proposed changes in any contractual agreement. Misrepresentations shall be grounds for terminating any contract. *

I agree

Representative Signature *

Date *

Exhibitor Fee *

Price: $ 200.00

Square *

Card

Name on Card

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