FL 2026 Institutional Sponsorship

2026 Institutional Sponsorship
Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Institution Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accounts Payable Email (if different from above)
example@example.com
Institution Name
Institution's Logo

Your institution’s logo will be displayed on the Chapter sponsorship page to highlight our partners.
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Program Link
Along with your institution’s logo, a link to your program will be displayed on the Chapter sponsorship page .
Please choose your institution's level of sponsorship:

Silver Level Sponsor
Please provide names and email addresses for up to 10 residents to receive complimentary membership in the Florida Chapter:
Names and email addresses can be submitted at a later date if they are not available now.
Gold Level Sponsor
Please provide names and email addresses for up to 15 residents to receive complimentary membership in the Florida Chapter:
Names and email addresses can be submitted at a later date if they are not available now.
As a Gold level sponsor, your institution is entitled to a job posting on the Chapter's website.

You may upload a file now, or submit your posting at a later date.
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Platinum Level Sponsor
Please provide names and email addresses for up to 40 residents to receive complimentary membership in the Florida Chapter:
Names and email addresses can be submitted at a later date if they are not available now.
As a Platinum level sponsor, your institution is entitled to a job posting on the Chapter's website.

You may upload a file now, or submit your posting at a later date.
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Please provide the names of the faculty (as you would like them to appear) to be listed on the Florida Chapter website:
Faculty member names can be submitted at a later date if they are not available now.

Payment Information

An invoice will be sent to you within 2 business days via the Florida Chapter's Bill.com account. Please pay via the link by credit card, bank transfer, or check within 30 days of the Annual Meeting.
How will you be paying?
**A 3% processing fee will be added to credit card transactions.
Checks can be made payable to:

Florida Chapter of the American College of Surgeons
c/o Affinity Strategies
PO Box 1488
Warrenville, IL 60555
Should be Empty:

2026 Institutional Sponsorship