EXHIBIT REGISTRATION FORM
24th Annual Southern Hospital Medicine Conference
9/25/2024 - 9/28/2024

Company Name
Contact Name
Address

Email
Phone Number
Representatives Participating in Event:
NAME EMAIL


LOCATION:
EARLIEST SETUP:
LATEST TEARDOWN:

PLEASE NOTE THERE ARE NO MANDATORY EXHIBIT TIMES
PLEASE STAFF YOUR BOOTH AS YOUR SCHEDULE ALLOWS.

ITEMS PROVIDED
  • 1 - 6' skirted table and 2 chairs
  • Wireless Internet Connection
  • Items provided vary by the Exhibit Level. Please see the exhibit prospectus for more details.
Please list any additional requirements or needs below

EXHIBIT Level:

SATELLITE SYMPOSIUM, PRODUCT THEATER, or MARKETING OPPORTUNITIES:



Additional Options:


X ECH Payment: NOT ACCEPTED
Make checks payable to Ochsner Clinic Foundation - Tax ID #72-0502505
Mail to: Ochsner Clinic Foundation Continuing Medical Education
Attention: Kristin Tschirn
1401A Jefferson Highway New Orleans, LA 70121
You will be taken to our payment site when you click SUBMIT

Total Exhibit Registration Cost