Exhibitor Application Form

Miami Brain Symposium, Fourth Annual

Company/Contact Information

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Please list your company name as it should appear in acknowledgements.
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First Contact
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Payment Details

Exhibit Hall Rate

Virtual Exhibitors

  • $25,000 (Platinum)
  • $15,000 (Gold)
  • $5,000 (Silver)
  • $2,500 (Bronze)
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Important: Next Steps

Your payment is for a Silver or Bronze virtual exhibit.

Check Payments

To make a check payment, please submit a check payable and mailed to the following address:

Baptist Health CME Department (Tax ID Number 65-0267668)
Attn: Julie Zimmett
8900 N. Kendall Drive, Miami, FL 33176

Credit Card Payments

You will be prompted to complete your credit card payment on the next page.

Baptist Health Foundation - Corporate Philanthropy Partners

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If you would like more information about becoming a Corporate Philanthropy Partner of Baptist Health Foundation, please contact Megan Cottle at MeganCo@BaptistHealth.net or 786-467-5534.

Important: Next Steps

Your payment is for a Platinum or Gold virtual exhibit.

Check Payments

To make a check payment, please submit a check payable and mailed to the following address:

Baptist Health South Florida Foundation (Tax ID Number 59-1923401) 
Attn: Miami Brain Symposium Online
6855 Red Road, Coral Gables, FL 33143

Credit Card Payments

To make a credit card payment, please contact Megan Cottle.

Terms and Conditions

For the purpose of this agreement, “Exhibitor” refers to the company(ies) represented at this event as well as the companies’ representative(s) present at this event; and “Baptist Health” refers to Baptist Health South Florida, its affiliates, subsidiaries, contractors, departments and/or employees.

  • Baptist Health will not refund any fees paid under this agreement if the company cancels 72 hours prior to the event.
  • Baptist Health CME reserves the right to (a) reject any exhibit application; (b) reject, prohibit, restrict or otherwise require modification of any exhibit for any reason.
  • Violation of any regulations on the part of the exhibitor, its employees or agents shall void the right to participate in the virtual event.

Agreement

I have read and I agree to the Terms and Conditions for Baptist Health CME Exhibit Hall Participation for the 2021 Miami Brain Virtual Symposium.

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Enter your full name.