Name of Conference
Date ● Time
Location
Standards for Integrity and Independence in Accredited Continuing Education
Baystate Health Continuing Interprofessional Education follows the ACCME Standards for Integrity and Independence in Accredited Continuing Education.
Agreement
By completing this form you agree to abide by these standards. • When commercial exhibits are part of the overall program, arrangements for these will not influence planning or interfere with the presentation of continuing education activities. • Exhibit placement is not a condition of support for a continuing education activity. • No commercial promotional materials shall be displayed or distributed in the same room immediately before, during, or immediately after an educational activity certified for credit. • Representatives of commercial supporters may attend an educational activity, but may not engage in sales activities while in the room where the activity takes place.
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Contact Kim.Buckelew (413-794-9145) to process charge card payment.
Make check payable to: Baystate Continuing Interprofessional Education
Mail to: Baystate Health, 3601 Main St., Springfield, MA 01199-0001
TAX ID #04-2105941
Notify Kim.Buckelew@baystatehealth.org when payment has been processed.
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Please DO NOT enter payment information here. Refer to exhibit request packet.
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You may upload photos of representatives below.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
You may enter links to product pages here
Product Material
Upload pdf files of information to provide attendees.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png html pdf doc docx.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt.
If you have more than 3 documents for your booth, email Marion.Talbot@Baystatehealth.org.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png html pdf doc docx.
By completing and submitting this form, I agree to abide by the policy above and to pay the selected exhibit/display fee.