Advertising Opportunities Application "*" indicates required fields Company Name*Contact Name* First Last Contact Email* Contact Cell Phone*Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country This field is hidden when viewing the formAd Placements**Other locations may become available as the virtual meeting space continues to be developed. Non-CME Education Exhibits and Industry Education Registration Would you like to purchase a banner ad?* Yes No Would you like to purchase a digital screen advertisement?* Yes No Meeting App Banner Ads– Up to four banner ads available on the ASC 2025 meeting app. – Ads will be in rotation on the Main Menu. – Specs: 970px by 250px any normal image format (gif, jpg, png)Meeting App Ad Pricing Price: QuantityPlease enter a number from 1 to 4.Digital Screen AdvertisementsTwo large digital screens will be prominently placed in high traffic areas. This is your opportunity to reach beyond the booth and reach attendees with your messaging. Limited opportunities available Content will rotate throughout the meeting.Digital Screen Ad Options*Please select an optionStatic Ad-$1,00030 Second Video Ad-$1,20060 Second Video Ad-$1,300Satellite SymposiaSatellite Symposium Price: QuantityPlease enter a number from 0 to 1.Symposia Date & Time OptionsNote: selection of preference does not secure you the time. Symposium date/time will be approved and finalized by the ASC.Please select your preferred date/timeTuesday, February 11, 2025: 3:00 pm-4:00 pm (2 opportunities available)Wednesday, February 12, 2025: 5:45 pm- 6:45 pm pm (2 opportunities available)Support LevelsSupporting organizations will be recognized as visibility donors based on their total support Support Levels*Please select an optionPlatinum-$20,000Gold-$15,000Silver-$10,000Bronze-$5,000Total Payment Method*CardCheck (Send Invoice)Wire Transfer (Send Invoice)Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name All checks can be made out to: Academic Surgical Congress 11300 W Olympic Blvd Suite 600 Los Angeles, CA 90064 Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook