Iowa Academy of Nutrition and Dietetics Annual Meeting Exhibit Registration Form
Thank you for partnering with the Iowa Academy of Nutrition & Dietetics for our Annual Meeting.

Our annual conference provides an opportunity to showcase your products and services to Iowa’s leading nutrition professionals.

Please review our current sponsorship guidelines and sponsorship level descriptions: https://www.eatrightiowa.org/annualmeeting
Sign in to Google to save your progress. Learn more
Select One: *
Required
What are your goals with this Exhibit? *
How does your company align with the Mission, Vision and Values of the Iowa Academy and the Academy of Nutrition and Dietetics?                                            (Mission, Vision and Values can be found in the Sponsorship and Exhibit Guidelines" document on the website. https://www.eatrightiowa.org/annualmeeting) *
List one to two citations from the scientific literature to support your Exhibit. *
Please identify any conflicts of interest. *
Do you acknowledge that the Iowa Academy does not endorse any particular brand or company product and agree your messaging or communication will not suggest otherwise? *
Do you acknowledge that the Iowa Academy’s programs, leadership, decisions,policies, and positions are not influenced by sponsors? *
Do you acknowledge that your information or promotion materials are clearly separated from Iowa Academy messages and content? *
Please provide rationale regarding how your materials will meet the requirements for: non-endorsement, non-influence, clear separation *
Do you agree that the Iowa Academy retains editorial control of all content in materials bearing the Iowa Academy name? *
Do you agree to marketing statements used by the Iowa Academy? *
Please indicate if you require either of the following:
Clear selection
Would you be willing to provide a door prize? *
Is an electrical outlet needed?  *
Company/Organization Information
(please enter the company/organization name as you would prefer it to appear in acknowledgements, etc.)
Company/Organization Name: *
Company/Organization Address: *
Company/Organization Website: *
Contact Name: *
Contact Title: *
Contact Email: *
Contact Phone: *
List any special requests:
Payment:
Clear selection
*CREDIT* Use this link to complete purchase online.
https://www.eatrightiowa.org/partnershippayment
*CHECK*  
If you select pay by check, an invoice will be sent to the address provided upon receipt of this submission. Checks should be made out to “Iowa Academy of Nutrition and Dietetics” and mailed to the address listed on the invoice. Payment is requested prior to the event.
If you have any questions, please contact:
Annual Meeting Chair - meetingeatrightiowa@gmail.com
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms