2024 Exhibitor Appointed Contractor Form

If your company plans to use a contractor that is not of the official designated show contractor, please complete the form in this link no later than Friday, 05 April 2024.

IMPORTANT: A certificate of Insurance, naming the ISMRM as an additional insured and valid through the dates of the Annual Meeting ISMRM, and signed EAC Agreement must be received by the ISMRM no later than Friday, 05 April 2024 or your EAC will not be permitted to service your exhibit.

"*" indicates required fields

Exhibiting Company Name*

Booth Number

Appointed Contractor Company Name*

Contractor's Address*

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

Contractor's Phone*

Contractor's Email:*

On-Site Supervisor's Name*

First Last

Type of Service to be Provided*

Authorized Exhibitor's Electronic Signature*

Enter your full name to indicate your authorization of this submission

If you have questions, please contact Katrina Watson, Meetings Coordinator, at katrina@ismrm.org