What is the meeting Is Exhibit What is the cost Contact Information regarding exhibits registration fee space available per exhibit (Name, Email, Phone No.) per at this activity? space/booth? learner/person? $ Yes No $ Expected Geographic Target Audience Attendance reach MD/DO National PharmD Regional PhD Physician Assistant State Nurse Practitioner Local RNs Medical Technologists Other Medical Professionals Session or Content Outline – must include speaker names and credentials/qualifications CME Activity Description
What is the meeting registration fee per learner/person? Is Exhibit space available at this activity? What is the cost per exhibit space/booth? Contact Information regarding exhibits (Name, Email, Phone No.) $ Yes No $ Target Audience Expected Attendance Geographic reach MD/DO National Regional State Local PharmD PhD Physician Assistant Nurse Practitioner RNs Medical Technologists Other Medical Professionals Session or Content Outline – must include speaker names and credentials/qualifications CME Activity Description
Form_2_Educational_Grant_Request_3.docx