2024 Fall Symposia Sponsor Registration Form

Company Name*

Company Website*

Company Description (50 words or less)

Company Logo*

Main Contact Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

NATIONAL EVENT SPONSORSHIP OPTIONS

$6,000 – Shared Plenary Lecture Sponsorship* (Slide shared during presentation)*Limit one per session – first come, first served$6,000 - NETWORKING EVENT SPONSORSHIPS - ALL locations(Networking events will be specific to each location and may include luncheons, breaks, breakfasts or mixers. Contact headquarters for more information.)$5,000 - Sidebar Ad: 300 x 250 PX$5,000 - Footer Ad: 728 x 90 PX ("Sticky")$5,000 - Display Ad: 728 X 300 PX$5,000 – Lanyards$500 – Literature Distribution (Sponsor responsible for printing/shipping literature to eachconference location.)$200 Each, no limit - Company Branded Student Awards (recognition to Student and listing on each site-specific page. Students will receive $100 to cover the entire student member registration cost.)Other

Regional Sponsorship Options

$1,000 – Session Sponsorship* (Topical focus – site specific)*Limit one per session – first come, first served$1,000 - Sidebar Ad: 300 x 250 PX$1,000 - Footer Ad: 728 x 90 PX (“Sticky”)$1,000 - Display Ad: 728 X 300 PX$1,000 - NETWORKING EVENT SPONSORSHIPS** – per location**(Networking events will be specific to each location and may include luncheons, breaks, breakfasts or mixers. Contact headquarters for more information.)$200 Each, no limit - Company Branded Student Awards (recognition to Student and listing on each site-specific page. Students will receive $100 to cover the entire student member registration cost.)Other

Select Location for Regional Sponsorship

TOTAL AMOUNT OF SPONSORSHIP FROM ABOVE:*

Payment: Please make checks payable to Society for Biomaterials (U.S. funds drawn on a U.S. bank, only) and mail to Society for Biomaterials, 1120 Route 73, Suite 200, Mt. Laurel, NJ 08054. Credit card payments cannot be accepted. For payment by wire transfer, contact Dan Lemyre (856) 642-4201, or dlemyre@biomaterials.org. (Additional fees apply.)

Consent to Photograph /Videotape / Interview Individuals

Please read, date and provide your signature on the next pages

Terms & Conditions

I hereby agree and give my permission for Society for Biomaterials and/or partners to record, film,photograph, audiotape or videotape myself (hereinafter identified as "works") and to display, publish or distribute these Works for the purpose of publishing, posting on the Society for Biomaterials website and posting on social media sites. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of the Society for Biomaterials' control. I agree that I will not hold the Society for Biomaterials responsible for any harm that may arise from such unauthorized reproduction.

I am over 18 years-of-age and I have read the payment terms and the fair use waiver above*

2024 Regional Symposia Registration Form