Winter Conference 2021 Prospectus Opportunities - March 9-10, 2021 St. Paul RiverCentre St. Paul, MN

 
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Winter Conference 2021 Prospectus Opportunities - March 9-10, 2021 St. Paul RiverCentre St. Paul, MN
2021 Prospectus
  Winter Conference
Sponsorship & Exhibitor
    Opportunities

                   March 9–10, 2021
                 St. Paul RiverCentre
                         St. Paul, MN
Winter Conference 2021 Prospectus Opportunities - March 9-10, 2021 St. Paul RiverCentre St. Paul, MN
ELIGIBILITY
You must be an MMGMA Affiliate
                                     EVENING ACTIVITY SPONSORSHIP
Member to sponsor an activity        Appetizer (Tuesday Reception): $1,250 (Exclusive)
or exhibit. To become an Affiliate    •   Promotional banner displayed prominently in reception area (company
Member, please visit mmgma.org.           provided)
                                          Banner must be a stand-up banner or a company sign that can be
                                          placed on an easel. MMGMA will be unable to hang banners.
CONTACT INFORMATION                   •   Place promotional literature (one 8.5x11 or smaller) on each table
Taira Casper                              (company provided)
MMGMA 2020 Sponsorship                •   Logo on signage at appetizer station
Committee Chair                       •   Logo and link on MMGMA website
E: taira.casper@crlmed.com            •   Logo on Winter Conference mobile app
P: 612-573-2200                       •   Logo in onsite program
                                      •   Verbal recognition at Winter Conference
Libby Baxter
MMGMA Sales Coordinator              Beverage (Tuesday Reception): $1,250 (Exclusive)
E: libbyb@ewald.com                   •   Promotional banner displayed prominently by beverage station/bar in
P: 651-366-6098                           reception area (company provided)
                                          Banner must be a stand-up banner or a company sign that can be
                                          placed on an easel. MMGMA will be unable to hang banners.
                                      •   Place promotional literature (one 8.5x11 or smaller) on each table
                                          (company provided)
                                      •   Logo on signage at beverage station
                                      •   Logo and link on MMGMA website
                                      •   Logo on Winter Conference mobile app
                                      •   Logo in onsite program
                                      •   Verbal recognition at Winter Conference

                                     Door Prize: $250 (plus provide a $100 value gift card)
                                      •   Draw and present prize
                                      •   Logo on signage at entrance of event
                                      •   Gift card should be a minimum of $100 value, and adult appropriate (i.e.
                                          Target, Visa, Best Buy, etc.)

                                     DAYTIME FOOD SPONSORSHIP
                                     Wednesday Breakfast: $750 (Exclusive)
                                      •   Logo on signage at breakfast
                                      •   Logo and link on MMGMA website
                                      •   Logo on Winter Conference mobile app
                                      •   Logo in onsite program
                                      •   Verbal recognition at Winter Conference

                                     Lunch: $750 (2 available: Tuesday/Wednesday)
                                      •   Logo on signage at lunch
                                      •   Logo and link on MMGMA website
                                      •   Logo on Winter Conference mobile app
                                      •   Logo in onsite program
                                      •   Verbal recognition at Winter Conference

                                     Break: $500 (2 available: Tuesday/Wednesday)
                                      •   Logo on signage at break stations
                                      •   Name on MMGMA website
                                      •   Name on Winter Conference mobile app
                                      •   Name in onsite program
                                      •   Verbal recognition at Winter Conference

                                                                                                                     2
ELIGIBILITY
You must be an MMGMA Affiliate
                                     SESSION SPONSORSHIP
Member to sponsor an activity        Keynote Address: $750 (2 available: Tuesday/Wednesday)
or exhibit. To become an Affiliate    •   Promotional banner displayed prominently at the session (company
Member, please visit mmgma.org.           provided)
                                          Banner must be a stand-up banner or a company sign that can be
                                          placed on an easel. MMGMA will be unable to hang banners.
CONTACT INFORMATION                   •   Place promotional literature (one 8.5x11 or smaller) on each table
Taira Casper                              (company provided)
MMGMA 2020 Sponsorship                •   Company representative may give 1-2 minute introduction to your
Committee Chair                           company
E: taira.casper@crlmed.com            •   Introduction of Keynote Address
P: 612-573-2200                       •   Logo on signage at entrance of event
                                      •   Provide a Mystery Prize (may utilize secret placement of envelope,
Libby Baxter                              sticker, special colored flyer or numbered drawing, etc. for quick prize
MMGMA Sales Coordinator                   drawing at end of speaker, simple creativity is encouraged)
E: libbyb@ewald.com                   •   Logo on MMGMA website
P: 651-366-6098                       •   Logo on Winter Conference mobile app
                                      •   Name in onsite program
                                      •   Verbal recognition at Winter Conference

                                     Breakout Sessions: $250 (3 available)
                                      •   Promotional banner displayed prominently at the session (company
                                          provided)
                                          Banner must be a stand-up banner or a company sign that can be
                                          placed on an easel. MMGMA will be unable to hang banners.
                                      •   Option to introduce speaker
                                      •   Logo on signage at entrance of event
                                      •   Name on MMGMA website
                                      •   Name on Winter Conference mobile app
                                      •   Name in onsite program

                                                                                                                     3
ELIGIBILITY
You must be an MMGMA Affiliate
                                     CONFERENCE ITEMS
Member to sponsor an activity        Mobile App: $1,500 (Exclusive)
or exhibit. To become an Affiliate    •   Exclusive sponsor of the conference mobile app (including logo
Member, please visit mmgma.org.           recognition in pre-conference marketing)
                                      •   Logo and link on MMGMA website
                                      •   Banner ad in the conference mobile app that will link directly to your
CONTACT INFORMATION                       website
Taira Casper                          •   Logo on Winter Conference mobile app
MMGMA 2020 Sponsorship                •   Logo in onsite program
Committee Chair                       •   Verbal recognition at Winter Conference
E: taira.casper@crlmed.com
P: 612-573-2200                      Lanyard: $1,000 (Exclusive)
                                      •   Logo on lanyards
Libby Baxter                          •   Logo on signage at entrance of event
MMGMA Sales Coordinator               •   Logo and link on MMGMA website
E: libbyb@ewald.com                   •   Logo on Winter Conference mobile app
P: 651-366-6098                       •   Logo in onsite program
                                      •   Verbal recognition at Winter Conference

                                     Morning at the Capitol: $1,000 (Exclusive)
                                      •   Logo on signage on transportation to the Morning at the Capitol
                                      •   Logo on signage at entrance of event
                                      •   Logo and link on MMGMA website
                                      •   Logo on Winter Conference Mobile App
                                      •   Logo in onsite program
                                      •   Verbal recogition at the Winter Conference

                                     Name Badge: $1,000 (Exclusive)
                                      •   Logo on name badges
                                      •   Logo on signage at entrance of event
                                      •   Logo and link on MMGMA website
                                      •   Logo on Winter Conference mobile app
                                      •   Logo in onsite program
                                      •   Verbal recognition at Winter Conference

                                     Tote Bags: $1,000 (Exclusive)
                                      •   Logo on conference bags
                                      •   Logo on conference bags (MMGMA to provide bags)
                                      •   Logo on signage at entrance of event
                                      •   Logo and link on MMGMA website
                                      •   Logo on Winter Conference mobile app
                                      •   Logo in onsite program
                                      •   Verbal recognition at Winter Conference

                                     Exhibitor Game: $500 (Unlimited)
                                      •   Draw and present prize at Prize Drawing session on Wednesday
                                          afternoon
                                      •   Company name and logo listed on game card
                                      •   Logo on signage at entrance of event
                                      •   Name on MMGMA website
                                      •   Name on Winter Conference mobile app
                                      •   Name in onsite program
                                      •   Verbal recognition at Winter Conference

                                     Signage In Kind (Exclusive)
                                      •   Company provides conference signs
                                      •   Logo recognition on each printed sign
                                      •   Logo on signage at entrance of event
                                      •   Name in onsite program
                                                                                                                   4
ELIGIBILITY
You must be an MMGMA Affiliate
                                     EXHIBITOR BOOTH: $750
Member to sponsor an activity        ADDITIONAL REPS – $200 each with a maximum of 4 reps per booth.
or exhibit. To become an Affiliate   STANDARD BOOTH ARRANGEMENTS – The contract price includes:
Member, please visit mmgma.org.
                                       •   Booth size 8’ x 10’
                                       •   Colored, flameproof draping 8’ high at back, 36” high on sides (color to
CONTACT INFORMATION                        be selected by conference management)
Taira Casper                           •   One-line exhibitor sign, showing company name
MMGMA 2020 Sponsorship                 •   One 8’ x 24” draped table with two chairs
Committee Chair                        •   Exhibitor registration for two representatives (including the Tuesday lunch
E: taira.casper@crlmed.com                 and opening reception, and Wednesday breakfast)
P: 612-573-2200                        •   Pre- and post-conference attendee list
                                     BOOTH PREFERENCES – MMGMA will request booth preferences closer
Libby Baxter                         to the event for our annual sponsors. Booth placements will be assigned
MMGMA Sales Coordinator              according to annual sponsor level, event sponsorship level, and date
E: libbyb@ewald.com                  registration was received. We will accommodate our annual sponsors’
P: 651-366-6098                      requests as much as possible.
                                     ELIGIBILITY – You must be an MMGMA Affiliate Member to sponsor an
                                     activity or exhibit. To become an Affiliate Member, please visit our website.
                                     CONFIRMATION – A registration confirmation will be e-mailed to your
                                     company’s contact upon receipt. Your booth assignment will be e-mailed
                                     to your designated company contact in February. A final confirmation with
                                     important onsite information will be sent to your company contact.
                                     EXHIBIT HOURS – The exhibit area will be open to conference attendees
                                     from Tuesday, March 9, 2021 from 11:30 am – 4:30 pm and Wednesday,
                                     March 10, 2021 from 7:30 am – 1:00 pm.
                                     EXHIBIT MATERIALS AND ACTIVITY – MMGMA reserves the right to
                                     prevent any exhibitor from displaying beyond the bounds of the exhibitor’s
                                     rented exhibit space including but not limited to: noisy electrical devices
                                     (ex. loud appliances, machines, games), smells/scents that are offensive or
                                     commonly cause allergic or physical reactions (ex. Industrial smells, chemical
                                     smells, nail polish, cleaners), displays, fire hazards (ex. open flames, highly
                                     flammable fumes), costumed mascots, live animals or anything which may
                                     prove objectionable. All aisles must be kept clear of displays. Inventory must
                                     be discreetly stored within an exhibitor’s booth space. The rights and privileges
                                     of an exhibitor shall not be infringed upon by any other exhibitors. Exhibitors
                                     are allowed to have sponsor prize drawings within their exhibit space. Any
                                     limitations on registering for or accepting the prize must be prominently
                                     displayed in the exhibit space. Prizes to be distributed by exhibitor after the
                                     conference.
                                     CANCELLATION POLICY – All exhibits and sponsorships are available on
                                     a first-come, first-served basis. Exhibits and sponsorships are not reserved
                                     until MMGMA receives payment. Cancellations must be received in writing to
                                     the MMGMA office by Friday, February 5, 2021 11:59 pm U.S. Central Time
                                     to receive a 50% refund. No refunds will be granted thereafter. No-shows will
                                     not be refunded. To ensure the best available booth locations to MMGMA
                                     conference exhibitors, the association has authority to reassign booth space
                                     that is cancelled by an organization without refund of fees paid.
                                     REGISTERING YOUR COMPANY REPRESENTATIVES – Complete
                                     the form on page 9. Each booth includes exhibitor registration for two
                                     representatives. You may purchase up to two more registrations per
                                     booth. Additional representatives are $200. No refunds will be provided for
                                     representative registrations. Representative registrations cover all days of
                                     the exhibit hall. Switch-outs for single days, half days, or less time will not
                                     be allowed.

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EXHIBITOR BOOTH (CONTINUED)
             SHIPPING INFORMATION – An exhibitor service kit will                                     DEADLINES
             be provided to all confirmed exhibitors and will include                                  • Friday, January 8, 2021: Deadline to be listed in
             shipping information. The decorator will receive, store,                                     the brochure as a conference sponsor (see sponsor
             and deliver your package directly to your booth, and will                                    options on pages 2-4)
             be on-site Wednesday to assist with return shipments if                                   • Friday, February 12, 2021: Deadline for prize listings,
             necessary.                                                                                   and sponsorship listings to be included in the onsite
             FAILURE TO OCCUPY SPACE – Space not occupied                                                 program.
             by the close of the exhibit installation period as specified                             SECURITY – The exhibit hall will be locked during
             in the accompanying material will be forfeited by the                                    non-show hours, but the Minnesota Medical Group
             exhibitor, and this space may be resold, reassigned or                                   Management Association and the Saint Paul RiverCentre
             used by the conference management. If the exhibit is on                                  do not guarantee to protect the exhibitors against any loss
             hand, the conference management reserves the right to                                    or damage of any kind.
             assign labor to set up a display that is not in the process                              ELECTRICITY – If your booth requires electricity or
             of being erected by the given deadline and to instruct that                              any other A/V needs, be sure to order those services
             the exhibitor be billed for all charges thus incurred.                                   accordingly from the packet provided by the show
             REFERENCES – MMGMA reserves the right to request                                         decorator.
             references from any exhibitor. MMGMA may, in its                                         TENTATIVE EXHIBITOR SCHEDULE
             sole discretion and without liability to exhibitor, cancel
             this contract if such references are not satisfactory to                                 Exhibitor Move In
             MMGMA. If the contract is cancelled pursuant to this                                        • Tuesday, March 9, 7:00 am – 11:00 am
             paragraph, all registration fees will be refunded to the                                 Exhibitor Hall Open
             exhibitor.                                                                                  • Tuesday, March 9, 11:30 am – 4:30 pm
             RESOURCES & INFORMATION – Booth space is limited.                                           • Wednesday, March 10, 7:30 am – 1:00 pm
             Complete your application with payment before February                                   Exhibit Hall Move Out
             5, 2021. Past conferences have sold out booth space well                                   • Wednesday, March 10, 1:00 pm – 4:00 pm

                                                      MMGMA Winter* Exhibit
             in advance of the deadline. Please get your contract in
             early.
                                                                     Conference
                                                                            Hall schedule subject to change.
                                                                                  ** Exhibitors
                                                                         March 10-11,  2020are required to remain set up until tear down
RE                                                                                time at 1:00 pm.
 .
                                                                                                                                               NORTH CONCOURSE

                                                        EXIT                                                               EXIT
VEL
                                                 FV                                                                                       FV
                                                                   503    505     507   509     511    513                                        525
             FRT.                                                                                                                                       524
             ELV.                                                        500 AISLE                          14'
                                                                                                                                                                           WOMEN
                                                                                                                                                               MEN

                                                                                                                                                        523
                                                           500   502    504     506                    512         514     516      518    520
                                                                                                                                                        425
                                                           401   403    405     407                    413         415     417      419    421

                                                                         400 AISLE                                       14'
                                                                                                                                                        423

                                           43'                                                                                                          422
                          EXIT                             400   402    404     406                    412         414     416      418    420
                                                                                                                                                        324
                                                           301   303    305     307                    313         315     317      319    321
                                                                                                                                                              to Kitchen
                                                                         300 AISLE                                       14'

 d x 10' w                                                                                                                                              322
OTHERWISE)                                                 300   302    304     306                    312         314     316      318    320
                                                                                          25'                                                     10'
                                                                                                                                                        224
                                                           201   203    205     207                    213         215     217      219    221
 E
                                                                         200 AISLE                                                                      223
OTHERWISE)                             A                                                                                 14'

                                                                                                                                                        222
                                                           200   202    204     206                    212         214     216      218    220

                                                           101   103    105     107                    113         115     117      119    121          124
                                                                                                                                                                               WOMEN
                                                                                                                                                               MEN

                                                                                                                                                        123
                                                                         100 AISLE                           14'

                                                 FV
                                                                  102     104    106    108     110   112                                  FV
                                                                                                                                                 122
                                                         FE                                                                    FE

                                      FV                EXIT                                                              ENTER                         FV           DF DF DF

                                                                                                                                                                                       6
MMGMA 2021 SPONSORSHIP & EXHIBITOR AGREEMENTS
INSURANCE AND DISCLAIMER                                             PHOTO/AUDIO/VIDEO RELEASE
Exhibitor hereby assumes entire responsibility and hereby            Registration for or attendance at this event acknowledges
agrees to protect, defend, indemnify and save the hotel,             consent to be recorded or photographed. We reserve the
its owners, and its operator, and each of their respective           right to use any photograph/video taken at our events,
parents, subsidiaries, affiliates, employees, officers, directors,   without the expressed written permission of those included
and agents harmless against all claims, losses or damages            within the photograph/video. We may use the photograph/
to persons or property, governmental charges or fines and            video in publications or other media material produced,
attorney fees arising out of or caused by its installation,          used or contracted including but not limited to: brochures,
removal, maintenance, occupancy or use of the exhibition             invitations, books, newspapers, magazines, television,
premises or a part thereof, excluding any such liability caused      websites, etc. To ensure the privacy of individuals, images
by the sole gross negligence of the hotel and its employees          will not be identified using full names or personal identifying
and agents. Exhibitor shall obtain and keep in force during          information without written approval from the photographed
the term of the installation and use of the exhibit premises,        subject.
policies of Comprehensive General Liability Insurance and
Contractual Liability Insurance, insuring and specifically           CODE OF CONDUCT
referring to the contractual liability set forth in this exhibit     MMGMA leadership and staff are committed to providing a
agreement, in an amount not less than $2 million combined            vibrant learning environment at all of our events, welcoming
single limit for personal injury and property damage. The            people from as many diverse backgrounds as possible.
hotel, its owners, and its operator shall be included in such        We expect our events to be a respectful, harassment-
policies as additional named insureds. In addition, exhibitor        free environment for people of all races, gender and trans
acknowledges that neither the hotel, its owners, nor its             statuses, sexual orientation, ability, nationality, ethnicity,
operator maintain insurance covering exhibitor’s property and        socioeconomic status and beliefs.
that it is the sole responsibility of exhibitor to obtain business
interruption and property damage insurance insuring any              We’re grateful that our community is positive, friendly and
losses by exhibitor.                                                 supportive of one another — it’s what makes our events such
                                                                     a draw each year.
CANCELLATION POLICY
All exhibits and sponsorships are available on a first-come,         In that spirit, the staff, supporters, volunteers, attendees and
first-served basis. Exhibits and sponsorships are not reserved       speakers at MMGMA events are expected to:
until MMGMA receives payment. Cancellations must be                     • Exercise consideration and respect in your speech and
received in writing to the MMGMA office by Friday, February                 actions.
5, 2021 11:59 pm U.S. Central Time to receive a 50%                     • Keep conversations professional, respectful and
refund. No refunds will be granted thereafter. No-shows will                consider other parties’ points of view. In short, don’t
not be refunded.                                                            make it personal. Passionate conversations are part of
                                                                            solving problems. Disagreements happen all the time,
CONFERENCE MODIFICATION OR CANCELLATION                                     and are necessary to consider difficult questions.
MMGMA reserves the right to modify the course’s schedule                • Remember that the boundaries of good taste,
or program as necessary. MMGMA also reserves the right                      humor, personal space and physical interaction differ
to cancel this conference, in which case a full refund of the               from person to person; if you sense someone feels
registration fee will be provided. We are unable to refund                  uncomfortable — whether they explicitly state it or not
any travel costs (flight, hotel, etc.) in the case of MMGMA                 — be respectful of those boundaries.
cancellation.                                                           • Refrain from demeaning, discriminatory or harassing
                                                                            behavior. Harassment and inappropriate behavior may
DATA PRIVACY/GDPR                                                           include, but are not limited to:
We host events throughout the year, including our annual                    • Sexist, racist, homophobic, transphobic or
winter and summer conferences, day with the payers, and                          otherwise discriminatory jokes or language physical
webinars (collectively “events”). If you are a member and                        intimidation, stalking or following sustained
register for one of our events, we will access the information                   disruption of talks or events.
in your member account to provide you with information                      • Posting or displaying sexually explicit or violent
and services associated with the event. If you are not a                         material; if for any reason you may need this
member and you register for one of our events, we will collect                   material for an educational session, please contact
your name and contact information, which we will store in                        MMGMA staff first and we can discuss how to give
our database and use to provide you with information and                         an appropriate warning to participants.
services associated with the event. If you are a presenter                  • Unwelcome sexual attention. This includes
at one of our events, we will collect information about you                      sexualized comments or jokes; inappropriate
including your name, employer and contact information, and                       touching, groping and unwelcomed sexual
photograph, and we may also collect information provided                         advances.
by event attendees who evaluated your performance as a                      • Advocating for, or encouraging, any of the above
presenter. As an attendee, speaker, or sponsor/exhibitor,                        behavior.
we will keep a record of your participation to provide you
with post-event information including details on upcoming            Be mindful of your surroundings and of your fellow
events you may be interested in. Your contact information            participants. Alert emergency services if you notice what you
may be shared via an event mobile app or attendee list as            assess to be a dangerous situation or someone in distress.
part of your participation in the event. Your hotel reservation      For other violations of this Code of Conduct, please contact
information may be shared between MMGMA and the hotel.               info@mmgma.org or an MMGMA staff member onsite.

                                                                                                                                        7
Sponsorship & Exhibitor Application Form
              MINNESOTA
                                                                            MMGMA 2021 Winter Conference
                                                                                          March 9–10, 2021
Organization Information
Organization________________________________________________________________________________________________

Name of Contact Person________________________________________________ Title_________________________________

Address____________________________________________________________________________________________________

City_________________________________________________________ State_________________ Zip____________________

Phone_________________________________________________________ Fax_________________________________________

Email__________________________________________________ Website______________________________________________

All listings and signage should read____________________________________________________________________________

Sponsorship and Exhibiting Opportunities
EVENING ACTIVITIES SPONSORSHIP                                       CONFERENCE ITEMS
  Appetizer (Tuesday Reception): $1,250                                Mobile App: $1,500
  Beverage (Tuesday Reception): $1,250                                 Lanyard: $1,000
  Door Prize | $250 (plus provide a $100 value gift card)              Morning at the Capitol: $1,000
DAYTIME FOOD SPONSORSHIP                                               Name Badge: $1,000
  Wednesday Breakfast: $750                                            Tote Bag: $1,000
  Lunch: $750                                                          Exhibitor Game: $500
      Tuesday     Wednesday                                            Signage In Kind
  Break: $500                                                        EXHIBITING
      Tuesday     Wednesday
                                                                       Exhibitor Booth: $750
SESSION SPONSORSHIP                                                    Additional Exhibit Rep(s): $200 per person
  Keynote Address: $750                                                    1 additional rep        2 additional reps
      Tuesday      Wednesday
  Breakout Sessions: $250

Payment Information
Payment must accompany to guarantee sponsorship. If paying by credit card, all fields below are required.

GRAND TOTAL: $ __________              Check (payable to MMGMA)          Visa     Mastercard       American Express    Discover

Name (as it appears on card)__________________________________________________________________________

Card Number________________________________________ Exp. Date__________ Sec. Code___________________

Email_________________________________________________ Phone______________________________________

Authorized Signature_________________________________________________________________________________

Address (if different than above)________________________________________________________________________

City___________________________________________________ State________________ Zip___________________
  By submitting this form, I have read MMGMA's 2021 Sponsorship & Exhibitor Agreements and agree to abide by them.

CANCELLATION POLICY – All exhibits and sponsorships are available on a first-come, first-served basis. Exhibits and sponsorships are
not reserved until MMGMA receives payment. Cancellations must be received in writing to the MMGMA office by Friday, February 5, 2021
11:59 pm U.S. Central Time to receive a 50% refund. No refunds will be granted thereafter. No-shows will not be refunded.

PCI COMPLIANCE – Please do not email forms with credit card information. To protect your data and to comply with PCI standards,
the MMGMA office will not accept emailed credit card information.

Mail/Fax with payment to:
MMGMA, 1000 Westgate Drive, Suite 252, St. Paul, MN 55114
Fax: 651-290-2266
Questions? Contact Libby Baxter at libbyb@ewald.com or 651-366-6098.
                                                                                                                                       8
Sponsorship & Exhibitor Application Form
             MINNESOTA
                                                                        MMGMA 2021 Winter Conference
                                                                                      March 9–10, 2021
Onsite Exhibitor Booth Reps
Exhibitor booths come with 2 complimentary onsite reps.
ONSITE REP #1
Name____________________________________________________ Title______________________________________________

Email___________________________________________________ Phone______________________________________________
ONSITE REP #2
Name____________________________________________________ Title______________________________________________

Email___________________________________________________ Phone______________________________________________

Additional Exhibitor Booth Reps (optional)
You may have up to 4 booth reps onsite. Additional reps are $200 per person.
ONSITE REP #3
Name____________________________________________________ Title______________________________________________

Email___________________________________________________ Phone______________________________________________
ONSITE REP #4
Name____________________________________________________ Title______________________________________________

Email___________________________________________________ Phone______________________________________________

Additional Registration Information
Do any exhibitors listed on this form have special dietary considerations? Staff will do our best to accommodate
reasonable dietary restrictions. If you have questions or concerns, please contact the MMGMA office at info@mmgma.org or
651-366-6089.
  Allergy       Gluten Free             Kosher    Lactose Intolerant        Vegan        Vegetarian

If you have an allergy or a dietary restriction not listed above, please explain:

___________________________________________________________________________________________________________

Please list the name(s) of who this dietary restrictions applies to:__________________________________________________

___________________________________________________________________________________________________________

Pursuant to the Americans with Disabilities Act, do any exhibitors listed on this registration form require specific aids or

services?       Yes       No

If yes please explain:_________________________________________________________________________________________

Please list the name(s) of who the ADA services apply to:_________________________________________________________

___________________________________________________________________________________________________________

Does any exhibitors listed on this registration form require accessibility adjustments or services?

  Audio        Mobile          Visual

Please list the name(s) of who the acessibility adjustments apply to:_______________________________________________

___________________________________________________________________________________________________________

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