Mayo Clinic School of Continuous Professional DevelopmentHematology & Medical Oncology Practice Updates and Board Review25R02146February 3-7, 2025Ritz Carlton Maui, Kapula, Kapalua, Hawaii Instructions:Complete this form to serve as an exhibit contract between Accredited Provider: Mayo Clinic College of Medicine and Science - MCSCPD and external organizations at Continuing Medical Education events.Agreement between Mayo Clinic College of Medicine - MCSCPD and: Company Name (as it should appear on printed materials) * Exhibitor Contact (if different than exhibit representative) Enter First and Last Name Exhibitor Contact Email Name(s) of Representative(s) Exhibiting (maximum of two representatives allowed per exhibit) * Enter First and Last Name Address (Street, City, State, Zip or Country Code) * Phone * Email Address(es) Representative(s) Exhibiting * Terms and Conditions Exhibitor agrees to abide by ACCME accreditation requirements and ACCME Standards for Integrity and Independence in Accredited Continuing Education ("Standards") as stated at www.accme.org/publications/standards-for-integrity-and-independence-accredited-continuing-education. The standards include, but are not limited to, the following requirements:Accredited continuing education must protect learners from commercial bias and marketing.Accredited education must be free of marketing or sales of products or services. Faculty must not actively promote or sell products or services that serve their professional or financial interests during accredited education.The accredited provider must not share the names or contact information of learners with any ineligible company or its agents without the explicit content of the individual learner.Exhibitor may only distribute educational promotional materials at their exhibit space. Distribution of non-educational items (pens, notepads, etc.), pharmaceuticals, or product samples is prohibited.All exhibit fees associated with this activity will be given with the full knowledge of the Accredited Provider. No additional payments, goods, services or events will be provided to the course director(s), planning committee members, faculty, joint provider, or any other party involved with the activity.Completion of this agreement represents a commitment and Exhibitor is obligated to provide full payment of all amounts due under this agreement by the Activity Date unless otherwise agreed upon by the Accredited Provider. Accredited Provider reserves the right to refuse exhibit space to Exhibitor in the event of nonpayment or Code of Conduct violation.If this agreement is cancelled by either party forty-five (45) days or more in advance of the Activity Date, Accredited Provider will refund the Exhibit Fee less a $300 processing fee. If this agreement is cancelled by Exhibitor less than forty-five (45) days in advance of the Activity Date, the total amount due under this Agreement shall be immediately due and payable to Accredited Provider.Accredited Provider agrees to provide exhibit space and may acknowledge Exhibitor in activity announcements. Accredited Provider reserves the right to assign exhibit space or relocate exhibits at its discretion.Note: All exhibitors must be approved by MCSCPD and this agreement is not binding until both parties have signed. MCSCPD maintains the right to refuse any exhibitor.By signing below, I agree to the "Terms and Conditions" outlined in this Exhibitor Agreement (including ACCME Standards for Integrity and Independence in Accredited Continuing Education). Payment and Exhibit OpportunitiesMayo Clinic PROVIDER Federal Tax ID number is 41-6011702. Form of Payment * Indicate your form of payment Credit Card Payment - Preferred Check Payment - Make checks payable to Mayo Clinic. Mail to: Mayo Clinic MCSCPD, Plummer 2-60, 200 First St. SW, Rochester, MN 55905 | REF: 5325R02146 - HemeOnc Board Review. (*Note: This completed form must be printed and sent along with your check payment to Mayo Clinic.) Limited opportunities are available. Exhibitor / Sponsorship opportunities are available subject to counter signature by Mayo Clinic. Named exhibitor wishes to exhibit at the above-named activity * Exhibit Table (USD): $3,200 Signatures The person signing below is authorized to enter into this agreement. Note: This agreement is not binding until both parties have signed.By signing below, I agree to the "Terms and Conditions" outlined in this Exhibitor Agreement (including ACCME Standards for Integrity and Independence in Accredited Continuing Education). Exhibitor Representative Signature * For Mayo Clinic Use Only Mayo Clinic Representative Signature ©2023 Mayo Foundation for Medical Education and ResearchMC8038-112WIP nw1 Leave this field blank