Florida Academy

of Nutrition and Dietetics

Vendor Registration Form - After January 31, 2017

copy
  1. Company Name (As you would like it to appear in the trade show):
    Invalid Input
  2. (Contact) First Name: (*)
    Invalid Input
  3. Last Name: (*)
    Invalid Input
  4. (Contact) Email: (*)
    Invalid Input
  5. Address:
    Invalid Input
  6. City:
    Invalid Input
  7. State: (*)
    Invalid Input
  8. Zip Code:
    Invalid Input
  9. Daytime Phone: (*)
    Invalid Input
  10. Authorized Signature:
    Invalid Input
  11. My company is requesting one (1) free meeting registration for an AND member who will be working our booth during the convention.
    Invalid Input
  12. If yes, name of AND member:
    Invalid Input
  13. AND Member Number:
    Invalid Input
  14. My company is interested in sponsoring an event and/or speaker for the convention.
    Invalid Input
  15. We would like the donated money to be used toward:
    Invalid Input
  16. My company is interested in providing a door prize to be raffled off in the exhibit area.
    Invalid Input
  17. If yes, specify:
    Invalid Input
  18. 1. Booth Registration:
    Invalid Input
    Price only shows for booths with no sponsorship discounts.
  19. I will be making a donation
    Invalid Input
  20. SPONSORSHIPS
  21. Sponsorships (see sponsorship pages)










    Invalid Input
  22. ADVERTISING
    Electronic Compendium
  23. Advertising (see advertising page)




    Invalid Input
  24. eNewsletter

  25. Invalid Input
  26. My company will need name tags for the following people:
    (please include any credentials and cities/towns; i.e., Jane Smith, RD, Tallahassee)
    Invalid Input
  27. Booth Requests:
    Invalid Input
  28. Indicate first, second, and third choices. Every effort will be made to accommodate your first request,
    however, booths will be assigned on a first come, first served basis.
  29. Exhibit sign should read as follows (44" x 7" - One Line):
    Invalid Input
  30. Principal products to be displayed:
    Invalid Input
  31. Firms, agencies, facilities, and products you do not wish to be located near:
    Invalid Input
  32. Note About Donation Discount: Exhibitors who are also sponsoring and/or advertising may register online but will not be able to pay online. To calculate your discount and for payment information please contact Jacque Mitchell at: jmitchell@eatrightflorida.org
  33. Registration Total:
    0.00
  34. Please enter the characters shown.(*)
    Please enter the characters shown. RefreshInvalid Input

Florida Academy of Nutrition and Dietetics

Copyright © 2017. All Rights Reserved.