MIEC26 Academic Exhibitor Application

Applicant Information

Name(Required)

Prefix First Middle Last Suffix

Position Title(Required)

Office Email(Required)

Enter Email Confirm Email

Office Phone(Required)

Office Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Institution Information

Institution(Required)

Upload Institution Logo(Required)

Max. file size: 300 MB.

Institution Website Link(Required)

Promoted Student Degree Programs(Required)

List the undergraduate and/or graduate student degree program(s) the institution plans to promote at the event. Use the plus sign to the right of the column to add as many rows as needed.

Level of Study (Undergraduate or Graduate)

Program Name

Will you need a booth?(Required)

Yes

Display Needs

Provide a description of any potential display needs for the exhibitor hall, including whether or not your booth will need access to electricity. Provide name(s) and title(s) for the persons manning the booth, for printing of name badges.

Authorized Organizational Representative (AOR) Letter(Required)

Attach a letter signed by your Authorized Organizational Representative (AOR) stating the institution authorizes and agrees to the following: (1) Representation and promotion of the institution at the event on July 23 through the use of the exhibitor booth and/or (2) Representation and promotion of the institution’s logo and corresponding website link on the MIEC26 webpage at msinbre.org/miec26

Accepted file types: pdf, Max. file size: 300 MB.

Authorized Organizational Representative (AOR) Email(Required)

A copy of the submitted application will be sent to the AOR's email.

Enter Email Confirm Email

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.