Iowa Academy of Nutrition and Dietetics Annual Meeting Sponsorship 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
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Please indicate your level of sponsorship. *
Required
What are your goals with this sponsorship? *
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 sponsorship. *
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? *
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: *
Company Logo
Please Email your Company logo(s) and any additional product pictures to: eatrightiowa@gmail.com.  This must be received no later than October 1, 2022 to be included in the conference materials.
List any special requests:
Payment:
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*CREDIT* Use this link to complete purchase online.
*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
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