- New Mexico Academy of Family Physicians

Organization Name *

Organization Type *

Primary Contact *

First

Last

Title *

Email *

Email

Confirm Email

Phone

Have you exhibited with us before? *

Yes
No

Does your organization currently have a budget for exhibitor fees? *

Yes
No

(email to your

What is your budget to exhibit at a conference? *

How does your work support or intersect with family medicine or public health? *

What information or resources would you provide to attendees? *

Are you able to promote the conference through your communication channels? *

Yes
No

Are you able to provide other in-kind services, such as tote bags, lanyards, etc., for all attendees? *

Yes
No

Which channels can you use (email list, website, social media, newsletters, internal networks, etc) and what is the estimated audience reach for each channel? *

Please list examples of what you think your organization may be able to provide. *

Complimentary and discounted booths are offered if space remains after paid exhibitor registration. To help us plan, please indicate the minimum amount of notice your organization needs to prepare for attendance. *

Please upload proof of nonprofit or government status *

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Booth Application