2023 Exhibitor/Sponsor Application

2023 Annual Meeting Sponsorship

Please use this form to secure your sponsorship for the 2023 PNS Annual Meeting in King of Prussia, PA. Thanks for your support and patience while we update our internal processing systems.
View the Sponsorship Prospectus.
Company Name*
Contact Name*

First NameLast Name
Contact Title
Contact Email*
example@example.com
Contact Phone Number*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If possible, please do not place our table next to the following companies:
Our best effort will be made to fulfil requests.
Company URL (website to link to your logo)
Product websites/pages are not recommended.
Company Logo: Please upload a high resolution png file that may be used in marketing. *

Cancelof

Exhibit and Sponsorship Policies
WARRANT AND AUTHORITY:
The Sponsor/Exhibitor and person signing this application on its behalf represent and warrant that the undersigned person is a duly authorized and appointed agent of the Sponsor/Exhibitor and is fully empowered to bind the Sponsor/Exhibitor to all provisions contained in this Agreement.*

By checking this box I confirm that an authorized company representative and am fully empowered to bind this Sponsor/Exhibitor this agreement as stated above.
CANCELLATION POLICY:
All cancellations must be submitted in writing via email no later than Friday, September 29, 2023, for a refund minus a 20% administration fee. There are no refunds for cancellations received after September 29, 2023. There are no refunds for annual meeting sponsorships.*

By checking this box, I confirm that I have read and accept the Pennsylvania Neurological Society's cancellation policies for the Annual Meeting.
ACCME STANDARDS FOR INTEGRITY AND INDEPENDENCE IN ACCREDITED EDUCATION:
As a vendor, you will need to understand and agree to follow the policies of the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education and the guidelines of the American Medical Association set for physicians in support of the PNS 2023 Annual Meeting. By accepting the purchase of exhibit space, PNS is in no way endorsing products or services offered by this company.*

By checking this box I confirm that PNS is in no way endorsing products or services offered by this company.

My Products
Categories:All

All

Sponsorship Level

Optional Items
prevnext( X )
Sponsorship Level

Gold Sponsorship
$5,000.00



Silver Sponsorship
$2,500.00



Optional Items

Industry Sponsored Symposium
$3,000.00 Quantity



Break Sponsor
$800.00 Quantity



Additional RepresentativeNote: Gold Sponsors receive two complimentary representatives. Silver Sponsors receive one complimentary representatives.
$50.00 Quantity



Total

$0.00
Should be Empty:

2023 Annual Meeting Sponsorship

Exhibit and Sponsorship Policies