Exhibitor registration

Company name (required)

Contact person name (required)

Email (required)

Phone (required)

Mailing address (required)
Address:
City:
State:
Zip code:

Exhibitor names, emails and phone numbers (required)
The number of exhibitors allowed to attend is based on exhibitor level. Please refer to the exhibitor options page for more information.

Will you require an electrical outlet for your display?
YesNo

Exhibitor level

Please make check payable to Main Line Hospitals. Tax ID number is 23-1352160. Once the form above has been submitted, send payment to:

Catherine Mikelson
240 North Radnor Chester Road, Suite 300
Radnor, PA 19087
mikelsonc@mlhs.org