26MN Exhibition & Advertising

* = Required Field

Please provide a marketing / logistic contact. This person will be the main point of contact for all conference correspondence and logistics. All communication will funnel through this person from ACMA regarding the event. We also ask that if you have a main point of contact for billing, please provide that contact person. They will only receive information from ACMA regarding invoicing and payments. This information WILL NOT be published, it is for internal use by ACMA staff.

First Name

Last Name

Job Title

Department

Company

Address Line 1

Address Line 2

City

US State

Zip (Postal Code)

Contact Work Phone

Extension

Mobile Phone

LOGISTICS CONTACT EMAIL: Your registration confirmation and all event logistics will be sent to this email address. To ensure that you receive all event communication, please add the domain "@acmaweb.org" to your safe sender list.

Email Address

Verify Email Address

Is there another email address you want copied on event logistic information? If yes, please include below in "cc email" field.

cc email

Emergency Contact:

Emergency Cell:

How did you hear about this event?

Do you need continuing education (CEs) hours while at this event?

[Clear Selection]

No No
Yes Yes

BILLING CONTACT: Please provide us with a billing contact person, if you have someone that you would like us to communicate with directly regarding billing and payments.

Billing Contact First Name

Billing Contact Last Name

Billing Contact Job Title

Billing Contact Work Phone

Billing Contact Email Address

Promo Code

discountcode
(If you have been given a special identifier please enter it here)

Attendee Category

Sponsor/Exhibitor [More Info]