AMSACon 2021 Registration Request Form

AMSACon 2021 exhibiting organizations have the opportunity to receive complimentary and discounted full Convention registration. AMSA does not limit the number of personnel from your organization in your fAMSA Exchange booth. Therefore, your personnel can access your organization's Exhibitor Service Center and enter your booth at any time with the same login password. For your exhibiting personnel to attend the AMSACon 2021 sessions outside of the fAMSA Exchange, AMSA gives each exhibiting organization the following number of complimentary full Convention registrations: Basic Booth Package - up to 2 Premium Booth Package - up to 4 Use this form to request your complimentary full Convention registrations only until February 6, 2021. Additional full Convention registrations are available to participating organizations at a special $50 rate until February 6, 2021. To purchase additional full Convention registrations, visit https://amsaconvention.org/register and select the BLUE register button in the “Now through 2/6/21” column. For each additional registration, the fields in the “New to this site” section will need to be completed. Once an account for the registrant is created, the discount code FRIEND2021 may be used until February 6, 2021 to receive the $50 rate. After February 6, registration fees increase to $299-$349. If you have questions or need assistance, please contact Sandy Fridy at sfridy@amsa.org or (703) 665-4811.

Deadline Date

Please submit registration form on or before February 6, 2021. After this date, complimentary registrations will not be available.

Submission Type*

Let us know if this is a new submission or a submission that replaces a previously sent submission. Deadline to make changes is March 1, 2021. Please select one.

Booth Package Type*

Please indicate the booth package purchased (Basic or Enhanced).

If booth contact wants to receive full Convention registration to attend AMSACon sessions, please include booth contact name here.

Enhanced Booth Package Exhibitors Only

Terms and Conditions*

Waiver of Liability Each registrant included on this submission form attending and/or participating in this program/event assumes all risks associated with his/her attendance and participation in all on- and off-site activities that occur during this time. By registering all agree to indemnify and hold harmless AMSA and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to their attendance and/or participation at this program/event. Photograph/Video/Audio Release AMSA has official photographers and videographers for their meetings and events. Photos, videos, and audio taken may be used, without compensation, in future marketing, publicity, promotions, advertising and training activities for AMSA. By registering for this event, each registrant agrees to allow AMSA to use the photographs, video and audio-which may include likeness-in all media formats worldwide. Please note, AMSA's events are held in a public space and, therefore we do not prohibit participants, exhibitors, sponsors, or news organizations from photographing, video-taping or audio-taping. In addition, each registrant agrees to hold AMSA harmless in the event that photos, video and audio are used that include your likeness on social media and/or future marketing materials. Information Release By registering for this event, each registrant acknowledges that the email address provide may be included on attendee lists made available to AMSA’s Exhibitors and Sponsors for this event. You may also receive information about AMSA events, services, and offers in the future.


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