American College of Osteopathic Pediatricians (ACOP)

ACOP 2019 Spring Conference

Omni William Penn, Pittsburgh PA
April 12-14, 2019


We wish to participating at the following level:

Click on levels to expand/close benefits

  Fees (USD)
Through February 12, 2019
Fees (USD)
After February 12, 2019
$15,000 $16,500
$10,000 $11,500
$5,000 $6,000
$2,500 $3,000
$1,500 $2,000

     Enter number of badges: @
$100/person $100/person

Sponsorship and Marketing Opportunities:

To take advantage of these opportunities, check all that apply.

  Fees (USD)
Through February 12, 2019
Fees (USD)
After February 12, 2019
$600 $600
$500 $500
$200 $200
$3,500 $3,500

Payment and Cancellation information:

Federal Tax ID#: 23-7111697 501(c)(6)

A minimum of 50% of the exhibit fee is due when the Exhibit Agreement is submitted. Payment is due in full by February 12, 2019.  Payment for an Exhibit/Sponsorship Agreement submitted after February 12 must be paid in full at the time of application.

Written cancellations received in the ACOP office by February 12, 2019 will receive a 50% refund.  There are no refunds for cancellations received after February 12.

Exhibitor assumes all risks and responsibilities for accidents, injuries or damages to person or property and agrees to indemnify and hold harmless the American College of Osteopathic Pediatricians, its officers, directors, trustees, employees, agents and contractors, from any and all claims, liabilities, losses, costs and expenses (including attorneys’ fees) arising from or in connection with Exhibitor’s participation in the Activity.

Payment Method:

Make checks payable to "ACOP". Payment is due within 30 days or before exhibit date, whichever comes first. An invoice will be generated and emailed to you.
Name on card:
Card number:
Expiration date: /
Security Code:
  The security code is the 4 digit number on the front of Amex cards and the 3 digit number on the back of MasterCard, Visa, and Discover cards.
Card Billing Address:
Card Billing Zip Code:

By signing below, you agree to be bound by the terms of this agreement.

Exhibitor Authorized Signature (Type name above) Date