MSS Exhibitor Form

2020 MSS Virtual Fall Conference

Exhibitor Information
Company Name

As you would like it to be posted on all materials
Company Name *
Contact Information
Contact Name *

First Name Last Name
Position *
E-mail *
Phone Number

Area Code Phone Number
Virtual Business Card

Includes up to three reps with business cards
Representative #1

First Name Last Name
Title
Email
example@example.com
Phone Number

Area Code Phone Number
Representative #2

First Name Last Name
Title
Email
example@example.com
Phone Number

Area Code Phone Number
Representative #3

First Name Last Name
Title
Email
example@example.com
Phone Number

Area Code Phone Number
Support Levels
Pay by *

Credit Card Check
Make your check payable to Minnesota Surgical Society and mail to our new address:

MSS
2213 Danny Park
Metairie, LA 70001

Print this form and mail with your check.

All checks must be received prior to the meeting unless other arrangements have been made with the MSS headquarters.
Fees to be paid by check *

Gold Exhibit Fee - $750 Silver Exhibit Fee - $500 Bronze Exhibit Fee - $350 Advertisement Fee - $150
Check Total *
Fees to be paid by credit card *

Gold Exhibit Fee - $750 Silver Exhibit Fee - $500 Bronze Exhibit Fee - $350 Advertisement Fee - $150
Advertisement Sign-Up

Sign-Up for your advertisement time by using the form below or on our web site. Reminder: Gold Exhibitors receive one free advertisement slot (additional slots are $150). Only exhibitors are eligible for advertisements before or after the webinar.

Sign-Up Here
To pay by credit card
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Gold Exhibitor $ 750.00

Silver Exhibitor $ 500.00

Bronze Exhibitor $ 350.00

Advertisement $ 150.00

Total $ 0.00
Should be Empty:

2020 MSS Virtual Fall Conference

Company Name

Contact Information

Virtual Business Card

Support Levels