Exhibitor Prospectus - Society for Maternal-Fetal Medicine

Application to Exhibit
We must receive your application and payment by November 9, 2012 to have your name listed in the SMFM special supplement (meeting program
book) to the American Journal of Obstetrics and Gynecology.
2013 is the thirteenth year SMFM will be hosting Industry Exhibits. As an exhibitor, your company will be entitled to participate in this portion of our
program. Upon request, SMFM will provide booth space (size depending on exhibit level), a six-foot draped table, two chairs, and a sign. The exhibit
hall is carpeted. Demand for exhibit space has been fierce with continually growing interest from companies wishing to reach the SMFM audience.
With recent years’ exhibits selling out, priority is a critical factor in determining booth assignments and availability. Apply early. Space is limited.
A portion of any exhibit and/or sponsorship revenue received by the Society for Maternal-Fetal Medicine or the Pregnancy Foundation may be directed toward the
other entity. Both the SMFM and the Pregnancy Foundation are separate 501 (c)(3) entities. The mission of the Pregnancy Foundation is to support education and
research in maternal-fetal medicine.
Company or Organization Name ______________________________________________________________________________________________________
Important Instructions
1. Please type or print clearly on this contract.
2. Space is assigned on a first-come, first-served basis.
3. Return completed contract/application along with full payment to:
Society for Maternal-Fetal Medicine,
409 12 th Street, SW, Washington, DC 20024 or fax to 202 554-1132.
Please enclose the exhibiting organization’s description in 75 words
or less. Describe the products and/or services that you plan to exhibit.
This description will appear in the Annual Meeting program, provided
you follow these requirements: 1) Limit your description to 75 words or
less and one paragraph (lists and multiple paragraphs will be edited to
one paragraph); 2) Use ® for registered product names and for trademarks;
3) Clearly write product and service names so that upper and
lowercase letters are unmistakable; 4) Pharmaceutical companies must
adhere to FDA guidelines. The SMFM reserves the right to edit text so
that it conforms to these requirements. Only descriptions received by
November 9, 2012, will be included in the Annual Meeting Program
(AJOG Supplement). You may email your description to Julie Miller at
jmiller@smfm.org.
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Our company is joining the SMFM Exhibit Program at the following level:
q Premier—$22,000 Premier exhibit includes a 20’ x 20 (or comparable) booth space
q Patron—$11,000 Patron 10’ x 20’ booth space
q Benefactor—$6,600 Benefactor level includes one 10’ x 10’ booth space
q Non-profit— $3,000 table-top display T1 – T17 only. Please provide a copy of your organizations tax exempt certificate.
q Recruiters—$3,000 table-top display T1 – T17 only.
TOTAL AMOUNT ENCLOSED: ________________________
Please make check payable to SMFM and mail this form along with payment to:
SMFM, Development Office, 409 12 th Street, SW, Washington DC 20024-2188. Or Fax credit card payment to: (202) 554-1132
If you prefer you may pay by Visa, MasterCard, or American Express
Card Number: Expiration DATE: Security Code:
Name on Card:___________________________________________________________________________________________________________________
Please list specific vendors that you wish to avoid close proximity. SMFM will honor this request to the best of our ability.
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Please list your choices of booth space in priority order. Premier level exhibitors may select a 20’ x 20’ (or comparable) booth space as indicated
on the floor plan. Patrons may select a 10’ x 20 space or two side-by-side 10’ x 10’ spaces. Benefactors may select one booth space. SMFM will
honor your request to the best of our ability however, space is assigned on a first come, first serve basis. For best selection APPLY EARLY!
1. ________________ 2. ________________ 3. ________________ 4. ________________ 5. ________________ 6. ________________
Exhibitor hereby agrees to and does indemnify, hold harmless, and defend SMFM from and against any and all liability, responsibility, loss, damage, cost, or expense of any kind whatsoever
which SMFM may incur, suffer, be put to, pay or be required to pay, incident to or arising directly or indirectly from any intentional or negligent act or omission by Exhibitor or
any of its employees, servants, or agents. SMFM shall not be responsible in any way for damage, loss, or destruction of any property of Exhibitor or injury to exhibitor or its representatives,
agents, employees, licensees or invitees.
The following information will appear in the final program:
Company or Organization Name (This name will appear in the Final Program) ___________________________________________________________________
Exhibitor Contact_______________________________________________________________________________________________________________
(All exhibit material will be forwarded to the contact indicated below; the individual contact name will NOT be published in the meeting program.)
CONTACT NAME _____________________________________________________________ TITLE _____________________________________________________
Address _____________________________________________________________________________________________________________________________
CITy ____________________________________________________________ STATE _____________ Zip _______________ COUNTry ____________________
TELEPHONE __________________________________ Fax __________________________________ EMAIL __________________________________________
SMFM Use Only
DATE Received __________________________ TOTAL DUE$ _____________________ PayMENT __________________ BOOTH# __________________
The Society for Maternal-Fetal Medicine • www.smfm.org | 9