Society for Pediatric Pathology Sponsor & Exhibitor Information Form
2025 Fall Annual Meeting: October 22-26, 2025
Company Name:
*
Pre-Conference Contact Name
*
First Name
Last Name
Pre-Conference Contact Email
*
example@example.com
Pre-Conference Contact Mobile Phone
*
Please enter a valid phone number.
Please upload a high resolution version of your logo:
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Are there any restrictions to how your logo can be displayed during conference?
*
Onsite Info
One of the representatives is the same as my pre-conference contact listed above.
Please Select
Yes
No
Rep 1: Full Name
First Name
Last Name
Rep 1: Email
example@example.com
Rep 1: Mobile Phone
Please enter a valid phone number.
Questions/comments:
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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