2025 AR ACC EXHIBITOR REGISTRATION FORM

February 21-22, 2025

Arkansas Ballroom | Marriott Hotel

3 Statehouse Plaza, Little Rock, AR 72201

Company Name*

Company Mailing Address*

City*

State*

Zip Code*

Coordinator's Name*

Coordinator's Email Address*

Coordinator's Phone Number*

The designated coordinator will receive all official documentation (i.e., W-9(s), receipt(s), etc).

Attending Representative's Name*

Attending Representative's Email Address*

Attending Representative's Phone Number*

Agreement to Conditions: Exhibitor agrees to abide by the following: (1) No competing function will be allowed during this meeting; (2) the sole control of the exhibit center rests with AR ACC; and (3) AR ACC will not be responsible for any injury to any exhibitor or loss of property by fire, theft, damage, or other causes. Refund Policy: To cancel exhibit space, a written notification to AR ACC office must be received no later than February 3, 2024. No refunds will be issued after that date.

Paying by Check?*

YesNo

Please make all checks payable to: Arkansas Chapter of the American College of Cardiology

10 Corporate Hill Dr Suite 300

Little Rock, AR 72205

Contributor Level

BENEFITS

Gold Contributor - Sponsorship of the Welcome Reception on Friday Evening with Verbal Recognition; Digital Placement on Monitor(s) at the Robinson Center; Web Banner on AR ACC Homepage and Attendee Registration Page with Logo and Link; Prime Location of Tabletop Exhibit

Silver Contributor - Sponsorship of the Conference Breakfast or Lunch on Saturday with Verbal Recognition; Digital Placement on Monitor(s) at the Robinson Center; Web Banner on Attendee Registration Page; Prime Location of Tabletop Exhibit

Bronze Contributor - Sponsorship of the Afternoon Break; Web Banner on Attendee Registration Page; Prime Location of Tabletop Exhibit

Contributor Level

Gold ContributorSponsorship of the Welcome Reception on Friday Evening with Verbal Recognition - Digital Placement on Monitor(s) at the Robinson Center - Web Banner on AR ACC Homepage and Attendee Registration Page with Logo and Link - Prime Location of Tabletop Exhibit

$4,000.00 Quantity

Silver ContributorSponsor ship of the Conference Breakfast or Lunch on Saturday with Verbal Recognition - Digital Placement on Monitor(s) at the Robinson Center - Web Banner on Attendee Registration Page - Prime Location of Tabletop Exhibit

$3,000.00 Quantity

Bronze ContributorSponsorship of the Afternoon Break - Web Banner on Attendee Registration Page - Prime Location of Tabletop Exhibit

$2,000.00 Quantity

Tabletop Exhibit Only

$1,250.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.