Sponsor or Exhibit at IPAC

IPAC Sponsor or Exhibitor Application

PLEASE FILL THIS FORM OUT TO BE CONSIDERED FOR SPONSORING AND/OR EXHIBITING AND/OR PARTICIPATING IN THE IPAC CONFERENCE SERIES. DUE TO A VARIETY OF REASONS, INCLUDING ACCREDITATION, NOT ALL APPLICANTS QUALIFY TO PARTICIPATE. ALL APPLICANTS, SPONSORS, EXHIBITORS, PRODUCTS AND PROGRAMS ARE SUBJECT TO APPROVAL BY THE IPA EDUCATION COMMITTEE AND/OR THE UNIVERSITY OF NEVADA, RENO SCHOOL OF MEDICINE, OFFICE OF CONTINUING MEDICAL EDUCATION, PRIOR TO ACCEPTANCE OF SPONSORSHIP, REGARDLESS OF PAYMENT STATUS. ALL SALES ARE FINAL, REGARDLESS OF ACCEPTANCE.

IF YOU HAVE ANY QUESTIONS REGARDING ELIGIBILITY, PLEASE CONTACT THE IPA EDUCATION COMMITTEE AT: EDUCATION@IPA.EDUCATION . IF YOU HAVE ANY QUESTIONS REGARDING THE COMPLETION OF THIS FORM, CALL 1-888-587-6720 AND ENTER EXTENSION 744, AND SOMEONE WILL ASSIST YOU. THANK YOU FOR BEING PART OF THE IPAC CONFERENCE SERIES.

Select The Upcoming Event(s) You Are Interested in Reserving or Applying For: (Click All That Apply)(Required)

IPAC2023NV (Oct 6-8 '23 - Las Vegas, Nevada)

Teach1Serve10 Free-Clinic Day - Clinical Practicum Workshop (Oct 8 '23 - Las Vegas, Nevada)

IPAC2024TX (March 15-16th '24 - Dallas, TX Addison Airport)

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Company Overview/Description (100 Words)(Required)

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Price

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PLEASE FILL THIS FORM OUT TO BE CONSIDERED FOR SPONSORSHIP, EXHIBITING AND/OR PARTICIPATING IN THE IPAC CONFERENCE SERIES. DUE TO A VARIETY OF REASONS, INCLUDING ACCREDITATION, NOT ALL APPLICANTS QUALIFY TO PARTICIPATE. ALL APPLICANTS, SPONSORS, EXHIBITORS, PRODUCTS AND PROGRAMS ARE SUBJECT TO APPROVAL BY THE IPA EDUCATION COMMITTEE AND/OR THE UNIVERSITY OF NEVADA, RENO SCHOOL OF MEDICINE, OFFICE OF CONTINUING MEDICAL EDUCATION, PRIOR TO ACCEPTANCE OF SPONSORSHIP, REGARDLESS OF PAYMENT STATUS. ALL SALES ARE FINAL, REGARDLESS OF ACCEPTANCE.

IF YOU HAVE ANY QUESTIONS REGARDING ELIGIBILITY, PLEASE CONTACT THE IPA EDUCATION COMMITTEE AT: EDUCATION@IPA.EDUCATION

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