2025 Urology EXHIBITOR REGISTRATION FORM

EXHIBITOR REGISTRATION FORM

March 6-8, 2025 | Embassy Suites, Little Rock, AR
Company Name*
Company Mailing Address*
City*
State*
Zip Code*
Coordinator's Name*
Coordinator's Email Address*
Coordinator's Phone Number*
Representative's Name*
Representative's Email Address*
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 AUS; and (3) AUS 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 AUS office must be received no later than February 21, 2025. No refunds will be issued after that date.
Choose NO to read descriptions of each level. If paying by check, simply change to YES.
Paying by Check?*

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Contributor Level
Please make all checks payable to: Arkansas Urologic Society

10 Corporate Hill Dr Suite 300

Little Rock, AR 72205
Total Owed
Contributor Level
prevnext( X )
GoldExhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Special event sponsorship and recognition (choice of meal)
$5,000.00 Quantity



SilverExhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Special event sponsorship and recognition
$4,000.00 Quantity



BronzeExhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Special event sponsorship and recognition. Special Event sponsorship and recognition.
$3,000.00 Quantity



Tabletop Exhibitor
$1,500.00 Quantity



Total

$0.00

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