MDA Sponsorship Prospectus

Mississippi Dental Association
139th Annual Session
June 12-15, 2014

Hilton Sandestin Beach Golf Resort
and Spa in Destin, Florida

Special points of interest:

  • Daily Space is limited to fifteen (15) sponsor exhibits.
  • Deadline to submit form for sponsorship is February 1, 2014

In addition to daily tabletop exhibit sponsorships we hope to also
plan more social networking and family events that allow our
sponsors to connect with annual session attendees.
These events will offer exclusive opportunities and recognition to
sponsors on-site and will range in fees from $500-$1000 per event.
Please contact the MDA Office for more details.

Date and Time
Thursday - June 12, 2014
Friday - June 13, 2014
Saturday - June 14, 2014
Registration Bags (limited to 2 sponsors)
Official Meeting Programs (limited to 2 sponsors)
I will contact the MDA Office for exclusive on-site sponsorship opportunities.
Totals will appear on the following screen.

*Company Name:
*Contact Person
*Phone Number:
Fax Number:
*Email Address:
*Company Representative(s) who will be onsite in Destin:

---------------------------- Payment Details ----------------------------

I will pay by: Check or Credit Card

If paying by check, please mail to:

Mississippi Dental Association
439 B Katherine Dr
Flowood, MS 39232

If paying by credit card,
please enter the information below:

Visa Master Card American Express
Card Number:
Expiration Date:
Name as it appears on card:
Security code:

Questions or Comments:

We agree to abide by the provisions, rules and regulations as published within the 2014 Sponsorship Prospectus and that the undersigned applicants agrees on behalf of the contract company are part of this Application Contract.

Cancellation: Cancellations received in writing through April 15, 2014 will receive a refund less a 50% administrative charge. Cancellations received after April 15, 2014 will not be eligible for a refund.