The University of Texas Southwestern Medical CenterOffice of Continuing EducationComplete this form to notify us of your company's intention to exhibit. Your company's participation is confirmed upon receipt of the signed Letter of Agreement (LOA).Below are the Terms and Conditions: EXHIBITOR AGREEMENTTERMS AND CONDITIONSEXHIBITOR agrees to abide by ACCME Standards for Integrity and Independence in Accredited Continuing Education as it relates to marketing by “ineligible companies” or non-accredited education associated with the accredited continuing education. An ineligible company is defined by ACCME as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. These companies are ineligible to be accredited within the ACCME system. ACCME does not consider providers of clinical service directly to patients to be ineligible companies. Exhibitor agrees that this letter of agreement to market or exhibit is separate from any agreements for commercial support for accredited continuing education. Exhibitor agrees this letter of agreement is not 1) related to the planning, delivery, and/or evaluation of accredited education; 2) designed to interfere with the presentation of the education, and/or 3) condition of financial or in-kind support for accredited continuing education. For live continuing education activities (in person or virtual), EXHIBITOR advertisements and promotional materials cannot be displayed or distributed within 30 minutes before or after an accredited education activity.For Print, online, or digital continuing education activities: Learners must not be presented with marketing while engaged in the accredited education activity. Learners must be able to engage with the accredited education without having to click through, watch, listen to, or be presented with product promotion or product-specific advertisements from the EXHIBITOR. Completion of this agreement represents a commitment, and payment is due and collectible by the ACTIVITY DATE unless otherwise agreed upon by the PROVIDER. PROVIDER reserves the right to refuse exhibit space to EXHIBITOR in the event of nonpayment.PROVIDER agrees to provide EXHIBITOR with this marketing opportunity and acknowledge EXHIBITOR in activity announcements without the use of marketing produced by or for an ineligible company, including corporate or product logos, trade names, or product group messages in compliance with ACCME Standards for Integrity and Independence in Accredited Continuing Education. Letter of Agreement (LOA): * Transmit the required UT Southwestern Letter of Agreement (LOA) form via email through DocuSign to the representative identified on this form. Transmit the required UT Southwestern Letter of Agreement (LOA) form to the responsible third‑party company via email using DocuSign. We are unable to execute the UT Southwestern Letter of Agreement (LOA), as our company requires the use of our own standard agreement. Submit Your Company's Letter of Agreement for review: * WORD DOCUMENTS ONLYFiles must be less than 5 MB.Allowed file types: rtf doc docx. Third Party Third Party Name * Third Party Contact Third Party Contact Email * Third Party Contact Telephone Will this third party be responsible for processing the payment? * Yes No Attestation * I understand that my company’s participation is confirmed upon receipt of the signed Letter of Agreement and our booth is reserved upon receipt of payment. Leave this field blank
