2023 ACS Exhibit Registration Form

2023 Annual Meeting | Exhibitor Registration

Omni Charlottesville Hotel | Charlottesville, VA | May 5 & 6, 2023
We are excited to meet in Charlottesville in 2023!

Your company is extremely important to our profession and we would like to cordially invite you to showcase your products and services. This year’s meeting offers you an excellent opportunity to make sales, widen your exposure and stimulate repeat business. We encourage you to review the exhibit packages described and to make the decision today to participate in the 2023 Annual Meeting!

The meeting will provide you with an excellent opportunity to interact with more than 120 surgeons from around the Commonwealth and surrounding areas. The program appeals to members of all surgical subspecialties.

If you would like to exhibit at the 2023 Annual Meeting, please complete the following application and submit it no later than April 17, 2023.

All exhibitor fees must be paid in full prior to the conference. Tax ID number: 23-7316510.
Company Information
Company Name*
Contact Full Name*
Contact Phone Number*

Area CodePhone Number
Contact Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Representative 1

First NameLast Name
Email
example@example.com
Representative 2

First NameLast Name
Email
example@example.com
Representative 3 - Gold Level | 3 registrations

First NameLast Name
Email
example@example.com
Representative 4 - Platinum Level | 4 registrations

First NameLast Name
Email
example@example.com
Representative 5 - Product Theater & Reception Sponsor | 5 registrations

First NameLast Name
Email
example@example.com
Indicate below companies you DO NOT wish to be near. If none, enter N/A
Exhibitor Directory

For inclusion in the online Exhibitor Directory, please complete the following information:
Brief Company Description (30-40 words)
Website
Social Media LInks
High Resolution Company Logo

Browse Files

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Omni Charlottesville Hotel

212 Ridge McIntire Rd, Charlottesville, VA 22903
Reserve the room that best meets your needs. Call at 1-800-THE-OMNI and request the VA-ACS discounted room rate of $279.00. Room block expires on April 7, 2023 but rooms may sell out before then.
Exhibit Hours
There will be a Welcome Reception on Friday, May 5 followed by educational sessions on Saturday, May 6. We are planning a fun social activity for everyone at Devils Backbone on Saturday afternoon - more details to follow!

Friday, May 5
Exhibit Set Up - anytime between 5:00 - 10:00 p.m.
Welcome Reception - 5:45 - 7:00 p.m.
Saturday, May 6
Exhibitor Set Up - 6:00 - 7:00 a.m.
Exhibits Open - 7:00 a.m.- 2:30 p.m.
Tear Down - 2:30 p.m.- 5:30 p.m.
Social Activity | Devils Backbone | TBD Saturday afternoon

All conference break food served in the Exhibit Hall.

Play to Win Raffle encourages attendees to visit all vendors!
Payment Information
Exhibit space confirmation, registration and other details will be sent to the contact person listed above.

Full payment is due no later than Monday, April 17, 2023.

Cancellation/Refunds: An exhibitor may cancel or withdraw from the meeting subject to the following conditions: 1) the exhibitor shall immediately file a written notice of intention to cancel or withdraw; 2) if written notice is received 30 days or more prior, the VA-ACS shall retain a sum of equal to fifty percent (50%) of the total cost of the reserved exhibit space; and 3) no refunds shall be made on cancellations received less than 30 days in advance of the meeting. Cancellations must be received in writing to smcconnell@ramdocs.org to be official.
Payment Type

Credit CardCheck
Credit Card Payment

If paying via credit card, make your selection(s) below, provide credit card information and click Submit. An email confirmation will be sent automatically. If you have any questions, contact Susan McConnell at smcconnell@ramdocs.org or 804-622-8139.
Check Payment

If paying via check, make your selection(s) below and click Submit. An email confirmation will be sent to confirm receipt of application. If you have any questions, contact Susan McConnell at smcconnell@ramdocs.org or 804.622.8139. *TO READ THE DETAILS ABOUT EACH SELECTION, CLICK ON CREDIT CARD PAYMENT TYPE*
Exhibit Level Selection
Multiple selections can be selected by using CTL and clicking on selection
Check Payment: Make check(s) payable to: VA-ACS

Send payment to:

VA-ACS
Attn: Susan McConnell
2821 Emerywood Parkway, Ste. 200
Richmond, VA 23294
VA-ACS Conference Support Options
Categories:All

All

Exhibit Levels (choose one)

Sponsorship Opportunities (in addition to exhibit fee)

Extras
prevnext( X )
Exhibit Levels (choose one)

Bronze LevelOne 6 ft table and 2 chairs | Two complimentary registrations to meeting sessions | Participation in the "Play to Win" game| Invited to cocktail reception | Company included in the online Exhibitor Directory Recognition as Bronze Contributor in all meeting material | Attendee list emailed
$1,625.00



Gold LevelAll Bronze level benefits, but with three registrations to meeting sessions | PLUS: Recognition as Gold Contributor in all meeting material | Specific signage indicating Gold Level Support | Support recognized at Podium by President | One Facebook post, tweet or LinkedIn post about company's meeting support | Special consideration for table placement
$2,535.00



Platinum LevelAll Bronze level benefits, but with three registrations to meeting sessions | PLUS: Recognition as Gold Contributor in all meeting material | Specific signage indicating Gold Level Support | Support recognized at Podium by President | One Facebook post, tweet or LinkedIn post about company's meeting support | Special consideration for table placement
$3,550.00



Sponsorship Opportunities (in addition to exhibit fee)

Marketing SponsorCompany advertisement in three meeting marketing emails, VA-ACS website, and on social media channels | Podium announcement of company support by VA-ACS President
$1,010.00



Attendee Reusable Bag SponsorHave your company name/logo on each attendee's reusable bag | Recognition as reusable bag sponsor in all meeting material, both printed and online | Podium announcement of company support by VA-ACS President
$1,520.00



Resident Session SponsorRecognition as Resident Session sponsor in all meeting material, both printed and online | Have your company sign greet attendees at the Resident Poster Session | Podium announcement of company support by VA-ACS President
$2,030.00



Breakfast / Refreshment Break SponsorRecognition as Refreshment Break sponsor in all meeting material, both printed and online| Have your company sign greet attendees when they break during sessions | Podium announcement of company support by VA-ACS President
$2,535.00



Welcome Reception SponsorRecognition as Welcome Reception Sponsor.| Benefits include all Platinum benefits but with five registrations | Advertisement in conference brochure indicating support | Ability to submit 3 articles for inclusion in e-newsletters (must be used within 6 months) | Pre-Conference list of registered attendees | Post-Conference list of registered attendees | Advertisement through VA-ACS database | Banner ad on VA-ACS website announcing event
$3,050.00



Non-CME Product Theater with SpeakerCompanies may host a Non-CME Product Theater which includes a speaker. | Opportunities include dinner on Friday night, breakfast on Saturday morning or lunch on Saturday afternoon | Benefits include all Platinum benefits but with five registrations | Advertisement in conference brochure indicating support | Ability to submit 3 articles for inclusion in e-newsletters (must be used within 6 months) | Pre-Conference list of registered attendees | Post-Conference list of registered attendees | Assistance with coordination of the activity | Advertisement through VA-ACS database | Banner ad on VA-ACS website announcing event
$5,070.00



Extras

Gift Card RaffleParticipate in the gift card raffle | Your company will be recognized for gift cards given as raffle prizes to attendees throughout the conference | VA-ACS staff will purchase the gift cards. *This is different from the "Play to Win" raffle all vendors are part of automatically.
$25.00 Quantity



Additional RepresentativeEach level of support includes the specified number of representative badges. If you would like additional badges, they are $100 each.
$100.00 Quantity



Total

$0.00

Payment Methods

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First Name	Last Name
Credit Card Number	Security Code
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2023 Annual Meeting | Exhibitor Registration

Company Information

Exhibitor Directory

Omni Charlottesville Hotel

Exhibit Hours

Payment Information

Credit Card Payment

Check Payment