Marketing & Visibility Opportunities Application - 21st Annual Academic Surgical Congress

Company Name:*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Website*

PRE-SHOW CONTACT INFORMATION

Name*

First Last

Title

Phone*

Email*

Payment

Please refer to the Exhibitor Prospectus for Visibility Options details and pricing.

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Today

Select your visibility level*

Meeting App

Onsite Digital Screens

Satellite Symposium

Visibility Package

Meeting App

Up to six banner ads available on the ASC 2026 meeting app

Price:

Onsite Digital Screens*

Static Ads – to be displayed in rotation, 15 seconds each ($1,000)

30-second Video Ad – to be displayed in rotation with sound ($1,200)

60-second Video Ad – to be displayed in rotation with sound ($1,500)

30-second Video Ad *

Price: $1,200.00

60-second Video Ad *

Price: $1,500.00

Satellite Symposia*

Host an hour-long presentation of your choosing

Price:

Visibility Packages*

Symposium Sponsor ($25,000)

Welcome Sponsor ($17,500)

Luncheon Partner ($12,500)

Coffee Break Sponsor ($7,500)

App Sponsor ($5,500)

Symposium Sponsor*

Price:

Welcome Sponsor*

Price:

Luncheon Partner*

Price:

App Sponsor*

Price:

Coffee Break Sponsor*

Price:

Payment Method*

Credit Card

Check or wire transfer – Please send invoice

Payment Options

Full Payment

50% Deposit

$0.00

Total

Please make check payable to the Academic Surgical Congress and send to:
Academic Surgical Congress
11300 W. Olympic Blvd. Suite 600
Los Angeles, CA 90064

Note- a $500 fee per exhibit reservation will be assessed on all cancellations received on or before January 5, 2026. No refunds will be processed after January 5, 2026.

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Exhibitor Agreement*

I certify that I have read the Exhibitor Prospectus which outlines the rules and regulations which are part of this contract. I further certify that all company staff participating in the ASC meeting will abide by the rules and regulations as set forth by the ASC. The ASC will provide industry the opportunity to exhibit and interface with meeting attendees. Exhibit hours, booth location and food and beverage events will be leveraged to encourage registrants to visit the exhibit hall.

PRE-SHOW CONTACT INFORMATION

Payment

Please refer to the Exhibitor Prospectus for Visibility Options details and pricing.

Note- a $500 fee per exhibit reservation will be assessed on all cancellations received on or before January 5, 2026. No refunds will be processed after January 5, 2026.

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