2019 Sponsor/Exhibitor Registration Form
2019 MAND Annual Meeting: "FOOLproof Nutrition: Fact VS Fiction"
Martin’s West
6817 Dogwood Rd
Baltimore, MD 21244
Monday, April 1, 2019

Full list of sponsor benefits can be found here: https://drive.google.com/file/d/1gbEzVgWHUIwu4pPX1GtpbY8WiULXQO4R/view?usp=sharing

Contact Name *
Your answer
Company/Organization Name: *
Your answer
Mailing Address: *
Your answer
Phone: *
Your answer
Email: *
Your answer
Please provide a brief (50 words or less) description of your exhibit (product or service) for the exhibitor passport booklet. Include a contact name and telephone number, if desired, for the membership. *
Your answer
Sponsor Options: Please refer to the Sponsorship/Exhibitor Opportunities document for descriptions of sponsorship levels and contact Elizabeth Entin with any questions at lizzientin@gmail.com. *
Required
Please list name and email for up to 2 representatives from your company attending (Please indicate name(s) as you would like it to appear on a name badge):
Your answer
Reminder: Platinum sponsors are eligible for two complimentary conference registrations for the individuals named above. Gold sponsors are eligible for one complimentary conference registration for an individual named above. If you would like to take advantage of this benefit, please indicate which representative(s) should receive free conference registration.
Your answer
All other Sponsors/Exhibitors
All other Sponsors/Exhibitors who would like to attend conference sessions and receive Continuing Professional Education (CPE) credits must register separately for the Annual Meeting. Please visit http://www.eatwellmd.org/page/annual-meeting for conference registration information.
Payment Information
All sponsors must meet guidelines established in MAND’s sponsorship policy http://www.eatwellmd.org/page/sponsorship-policy and be approved by MAND’s Sponsorship Committee. Once approved, an invoice will be sent to the email address listed above with instructions for making a credit card or check payment.

The deadline to register is midnight EST Friday March 1, 2019. Registration will not be considered complete until payment has been received. Late registration may be accepted by email, based on availability. However, for all registration forms received after the March 1 deadline, a late fee of $50.00 will be added to the total cost.

Cancellation policy: Prior to midnight EST on Friday March 15, 2019, organizations that have completed registration are eligible for a 50% partial refund in the event that they are no longer able to attend the Annual Meeting. Unfortunately, we are unable to provide a refund for cancellations after March 15, 2019.


Questions? Please contact:
lizzientin@gmail.com
Elizabeth Entin, MPH, RD, LDN
Chair-Elect, Council on Professional Issues
Maryland Academy of Nutrition and Dietetics

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