2026 Urology EXHIBITOR REGISTRATION FORM

We're excited to meet again at the Embassy Suites in Jonesboro, AR! The AUS Annual Meeting will take place on March 12-14, 2026.

Gold ($5,000): Exhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Web banner on AUS website homepage - Special event sponsorship and recognition

(BREAKFAST WITH EXHIBITORS FRIDAY OR LUNCH WITH EXHIBITORS FRIDAY)

Silver ($4,000): Exhibit 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

(BREAKFAST WITH EXHIBITORS FRIDAY OR LUNCH WITH EXHIBITORS FRIDAY)

Bronze ($3,000): Exhibit 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

(AFTERNOON BREAK FRIDAY OR CONTINENTAL BREAKFAST SATURDAY)

Tabletop ($1,500): Exhibit table in standard location.

Company Name*

Company Mailing Address*

Street Address

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Coordinator's Name*

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Coordinator Email Address*

Coordinator's Phone Number*

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Representative's Name*

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Representative's Email Address*

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Representative's Phone Number*

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Will you have additional representatives attending?*

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How many additional representatives will be attending?

Additional Representative Name

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Additional Representative Name

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Additional Representative Name

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Email

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Additional Representative Name

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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 ADS; and (3) ADS 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 ADS office must be received no later than March 21, 2026. No refunds will be issued after that date.

Paying by check, or by card?*

CheckCard

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Please make all checks payable to: Arkansas Urologic Society

PO Box 55088

Little Rock, AR 72215

Total

My Products

GoldExhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Web banner on AUS website homepage - 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 (choice of meal)

$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

$3,000.00 Quantity

Tabletop ContributorExhibit table in a standard location.

$1,500.00 Quantity

Total

$0.00

Payment Methods

Choose from one of the PayPal options to make your payment.

EXHIBITOR REGISTRATION FORM

Contributor Levels