Exhibitor Registration for Winter Refresher

Fill out the form below to register for the 42nd Annual Winter Refresher in Albuquerque. The conference is Saturday, February 24, 2024 at Sandia Resort Conference Center. For more information, click here. To read contract terms, click here. We look forward to seeing you!

Exhibitor Registration

Firm *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email *

Email

Confirm Email

How many vendors do you need to register? *1234

If a vendor wishes to eat food served in the Exhibit Hall, a meal ticket which includes 2 breakfasts, 2 lunches and 2 breaks must be purchased at the time of registration for a cost of $100/person. Vendor name badges will indicate meal ticket purchase.

Vendor #1 Name *

First

Last

Vendor #1 Email *

Meal TicketNo – $ 0.00Yes – $ 100.00

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Vendor #2 Name *

First

Last

Vendor #2 Email *

Meal TicketNo – $ 0.00Yes – $ 100.00

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Vendor #3 Name *

First

Last

Vendor #3 Email *

Meal TicketNo – $ 0.00Yes – $ 100.00

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Vendor #4 Name *

First

Last

Vendor #4 Email *

Meal TicketNo – $ 0.00Yes – $ 100.00

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Terms *

• I understand that this becomes a contract when submitted and accepted by the NMAFP. We agree to abide by the conditions of the contract.

Conditions of the contract can be viewed by clicking here.

Total

$ 0.00

We would like to pay via *Credit CardCheck

Payment is due no later than February 16, 2024.

Please mail your check for the above total to:
New Mexico Academy of Family Physicians
1046 Las Golondrinas Ct. NW
Albuquerque, New Mexico 87107

Proceed