Instructional Course and Annual Meeting Virtual Exhibit Application

Instructional Course and Annual Meeting Virtual Exhibit Application

Application and all materials must be submitted by October 27, 2020 to be included in virtual promotional materials.
Company Name *
Virtual Exhibit Booth Contact Name - this person will receive all receipts and registration confirmations *

First Name Last Name
Contact Email Address *
Business Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Short Company Description (50 words) (Standard Exhibit Purchase) *
Long Company Description (250 words) (Upgraded Exhibit Purchase)
Upload Company Logo, EPS format: *

Browse Files

Cancel of
Company Website *
Link to company video or meeting (Upgraded Exhibit Purchase Only)
Complimentary Registration

Your standard purchase includes two complimentary registrations. Please indicate your registrants' names and emails below. You will be contacted by CSRS staff if additional complimentary registration information is needed.
Registrant 1 *

First Name Last Name
Email *
example@example.com
Registrant 2 *

First Name Last Name
Email *
example@example.com
Registrant 3 (Upgraded Booth Purchase Only)

First Name Last Name
Email
example@example.com
Registrant 4 (Upgraded Booth Purchase Only)

First Name Last Name
Email
example@example.com
Total Support *

Standard Virtual Exhibit Booth - $3,000 Upgraded Virtual Exhibit Booth - $6,000
Payment and Agreement

Standard Virtual Exhibit Booths will contain your company's name, logo, description, and contact information. For more details and examples of support levels, please see our Prospectus at https://www.csrs.org/education/exhibit.
Payment Method

Pay via Check: Checks should be made payable to Cervical Spine Research Society and sent to Cervical Spine Research Society, 555 E. Wells Street, Suite 1100, Milwaukee, WI 53202 Pay over the phone: Call +1-414-918-9834
By completing and submitting the 2020 Instructional Course and Annual Meeting Application for Virtual Exhibit Space, we agree that:

-Payment in full or postmarked payment by October 27, 2020 must accompany this application.
-All provision of the Rules and Regulations and General Information, as hereby published, shall be a part of this contract.
-Should we cancel this exhibit space reservation prior to October 27, 2020, we will receive a refund, less a 25% administrative fee. Should we cancel after October 27, 2020, we will forfeit the entire cost of the booth. We agree that all cancellations and refund requests be made in writing.
Signature *

Clear
Please retain a copy of this contract for your files and return this original
application with appropriate payment information to:

Cervical Spine Research Society
Lindsey Groves Sausser, Meetings & Membership Manager
555 E. Wells Street, Suite 1100
Milwaukee, WI 53202
Phone: +1-414-918-9834
Fax: +1-414-276-3349
Email: lgrovessausser@csrs.org
Should be Empty:

Instructional Course and Annual Meeting Virtual Exhibit Application

Complimentary Registration

Payment and Agreement