Mississippi Society of Health-System Pharmacists

Mississippi Society of Health-System Pharmacists

A Great Team for Mississippi Healthcare.

Online Registration Form
Printable Registration Form

Online Exhibitors Form
Printable Exhibitors Form

Company:

Address:

City:

State:

Zip:

Email:

Phone:

Representative Name(s):

NOTE: If any of your total expenses exceed $750, then the exhibit fee will be waived.

Corporate Sponsorship - $2500 annually
(includes complementary exhibit space, six annual memberships, special recognition at all MSHP events, and MSHP Newsletter advertising space)

Exhibit display - $750

Set up on Thurs from 2:00-6:00pm
Thurs night Grand Opening Reception from 6:00-8:30pm
Fri morning 9:30-10:30am

Speaker Sponsorship (contact Jennifer Fowler Sample jlfowler@pharmacy.umsmed.edu)

Meals

Banquet - Full Funding ($5000)
Banquet - Partial ($ as co-sponsor)
Breakfast - Full Funding ($2000)
Breakfast - Partial ($ as co-sponsor)

Refreshment Break ($400)

Door Prize(s) – Please specify prize(s):

Educational Grant $

Banquet Tickets ($50.00 per ticket) $

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Cardholder's Name
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Card Expiration Date	(MMYY)

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