Exhibitor Conference Rates
Standard Rate ($1,000.00)
For 2 representatives
Premium Rate ($1,400.00)
For a booth at the ADDF's 2020 April and October Conferences
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$0.00
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Representative #1
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Name
*
Suffix
*
(Choose One)
MD
MD, PhD
MS
PhD
PhD (cand.)
N/A
Other
Job Title
*
Email Address
*
Are you interested in participating in the 1-to-1 Mentoring Sessions?
Yes
No
Special Instructions
Representative #2
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I will provide this information at a later time.
Name
*
Suffix
*
(Choose One)
MD
MD, PhD
MS
PhD
PhD (cand.)
N/A
Other
Job Title
*
Email Address
*
Are you interested in participating in the 1-to-1 Mentoring Sessions?
Yes
No
Special Instructions
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