TAFP Marketing & Exhibits Application

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Thank you for your interest and support of family medicine in Texas. Please use this form to provide us with important contact information and your company profile. The application is broken into sections for each conference. You can skip sections if they don't apply to you.

Email *

Organization/Company Name *

Your Name *

Street Address *

City/State/ZIP *

Phone *

Email Address *

Product or Service Description *

Fax *

Product or Service Category *

CME or Educational Provider

Consultant or Financial Services

Electronic Health Records or Technology Solution

Health Resources

Hospital or Specialist

Medical Devices, Supplies or Equipment

Pharmaceutical

Recruiter

OTHER: TAFP will classify you based on product descrp

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