Exhibitor Recommendation Form - Annual Session

What companies would you or your team like to see exhibit at the Michigan Dental Association Annual Session? Fill out this form with your recommendation(s) so the MDA can reach out and invite them to participate.

To show our appreciation, for every contact submission you’ll receive a prize drawing entry to win one of four $150 Visa gift cards. For example, provide two recommendations and receive two entries. Forms are due by March 28, 2025, winners will be drawn on April 7, 2025.

Company Recommendation #1(Required)

Recommendation #1 | Contact Name(Required)

First Last

Recommendation #1 | Phone(Required)

Recommendation #1 | Email Address(Required)

Company Recommendation #2

Recommendation #2 | Contact Name

First Last

Recommendation #2 | Phone

Recommendation #3 | Email Address

Company Recommendation #3

Recommendation #3 | Contact Name

First Last

Recommendation #3 | Phone

Recommendation #3 | Email Address

Company Recommendation #4

Company Recommendation #4 | Contact Name

First Last

Recommendation #4 | Phone

Recommendation #4 | Email Address

Other Companies of Interest

Please list companies you don't have contact information for but would like to see exhibit at the MDA Annual Session.

Enter your list here:

Your Name(Required)

First Last

Contact Email(Required)