Visibility Packages Application - 21st Annual Academic Surgical Congress

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Company Name:*

Address*

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

Website*

PRE-SHOW CONTACT INFORMATION

Name*

First Last

Title

Phone*

Email*

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

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Today

Select your visibility package:*

Symposium Sponsorship includes:

8′ x 10′ booth space
1 meeting app ad
1 Satellite Symposium
Recognized as a Symposium Sponsor on the meeting website, the meeting app, on-site with signage, slides and verbally from the podium at the Opening Session

Welcome Sponsorship includes:

8′ x 10′ booth space
1 meeting app ad
Recognized as sponsor of Welcome Reception
Recognized as a Welcome Sponsor on company branded napkins, push notifications prior to the reception, the meeting website, the meeting app, on-site with signage, slides and verbally from the podium at the Opening Session

Luncheon Partnership includes:

8′ x 10′ booth space
1 meeting app ad
Recognized as sponsor of Tuesday Lunch in exhibit hall
Recognized as a Luncheon Partner on company branded napkins, via push notifications prior to the lunch, on the meeting website, on the meeting app, onsite with signage, slides and verbally from the podium at the Opening Session

*This event is not part of the CME accredited programming

Coffee Break Sponsorship includes:

8′ x 10′ booth space
1 meeting app ad
Recognized as sponsor of daily Coffee breaks
Recognized as a Coffee Break Sponsor on company branded napkins, the meeting website, the meeting app, on-site with signage, slides and verbally from the podium at the Opening Session

Meeting App Sponsorship includes:

8′ x 10′ booth space
1 meeting app ad
Recognized as a Meeting App Sponsor on the meeting website, the meeting app, on-site with signage, slides and verbally from the podium at the Opening Session

Meeting App Details:

1 meeting app ad available on the ASC 2026 meeting app
Ads will be in rotation on the Main Menu

Specs: 970px by 250px any normal image format (gif, jpg, png)

Satellite Symposium Details:

Host an hour-long presentation of your choosing. Topics and speakers to be approved by ASC. CME provided at the discretion of the sponsoring company.

Available dates and times:

Tuesday, February 3 from 3:00 pm – 4:00 pm
2 opportunities • No opposing content

Wednesday, February 4 from 5:45 pm – 6:45 pm
2 opportunities • *AAS Business Mtg

ASC will promote the symposium to attendees and members via eblasts, social media, and on the meeting app. Push notifications will remind attendees prior to the presentation on the day of the symposium. Includes standard meeting room, standard AV set. Presenting company may provide and pay directly for F&B, additional AV and room set changes, upon the approval of the ASC.

*Approximately 150 registrants attend the AAS Business meeting

Which symposia would you like to reserve?*

Tuesday, February 3 from 3:00 pm – 4:00 pm

Wednesday, February 4 from 5:45 pm – 6:45 pm

Symposia Description*

Brief description of the topic you will be presenting on. Enter “undetermined” if necessary. Topics and speakers due by January 5, 2026.

Does your company plan to provide CME?*

Yes

I do not wish my exhibit booth to be adjacent to (list no more than 3 companies):

Payment

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.