CONTACT INFORMATION
Which meeting(s) will you be registering for?
Annual Meeting
Foot Club
Hand Meeting
Shoulder Meeting
Company Name
Requested Booth Number(s)
Booth Signage Should Read
Contact Name
*
First Name
Last Name
Cell Number
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select sponsorship level(s)
Annual Meeting Exhibitor Registration
Silver Annual Meeting Sponsorships
Gold Annual Meeting Sponsorships
Platinum Annual Meeting Sponsorships
Attendee Name 1
Attendee Name 2
Attendee Name 3
Attendee Name 4
Attendee Name 5
Attendee Name 6
Attendee Name 7
Attendee Name 8
Attendee Name 9
Attendee Name 10
Do you want to add any additional attendees? ($85/person)
*
Yes
No
How many additional attendees would you like to pay for?
*
Please Select
1
2
3
4
5
6
7
8
9
10
You will pay for additional attendees at the bottom of the payment page
Please list names of all additional attendees:
*
REGISTRATION & PAYMENT INFORMATION
This form is only for those opting to pay by check. After selecting which items below that you would like to register for, please mail your check as soon as possible. Make check payable to Alabama Orthopaedic Society. Then, mail it to 1085 Chesson Hill Dr., Fitzpatrick, AL 36029.
Please refer to the Exhibitor Prospectus packet for more details about each sponsorship
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Annual Meeting Exhibitor Registration
Booths include 8x8 Meeting space, 6’ Table, 2 Chairs, Company ID sign, Wastebasket (2 Attendees)
$
3,000.00
Number of Booths
Price
1 State
$
3,000.00
2 States
$
5,000.00
Item subtotal:
$
0.00
Annual Meeting Sponsorships
For Opening Reception Exclusive, Presidential Dinner or Presidential Dinner Exclusive, please contact Terri Mendez
$
2,000.00
Quantity
Price
Morning Break
1
$
2,000.00
Morning Break Exclusive
1
$
4,000.00
Breakfast
1
$
1,500.00
Breakfast Exclusive
1
$
3,000.00
Opening Reception
1
$
3,000.00
Item subtotal:
$
0.00
Annual Meeting Sponsorships
For Platinum or Diamond Sponsorships, please contact Terri Mendez
$
6,000.00
Quantity
Price
Silver (6 Attendees)
1
$
6,000.00
Gold (8 Attendees)
1
$
8,000.00
Item subtotal:
$
0.00
Additional Attendees
$85/person; if applicable, this number should reflect the same amount you select above
$
Free
Quantity
0
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Fishing
$235/person; includes lunch and beverage
$
Free
Quantity
0
1
2
3
4
5
6
Item subtotal:
$
0.00
Golf
$270/person; includes lunch
$
Free
Quantity
0
1
2
3
4
Item subtotal:
$
0.00
SUBMIT
Should be Empty: