Exhibitor Application

"*" indicates required fields

Exhibitor Information

Please indicate company information exactly as it should appear in all official publications.

Company Name*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Phone*

Company Website*

Type of Product

Contact Information

Is the On-Site Exhibit Manager the same as the Pre-Show Contact?

Yes

Pre-Show Contact Name*

First Last

Pre-Show Contact's Title

Pre-Show Contact Phone*

Pre-Show Contact Email*

On-Site Exhibit Manager Name*

First Last

On-SIte Exhibit Manager's Title

On-Site Exhibit Manager Email*

On-Site Exhibit Manager's Cell Phone*

Exhibit Reservation

Included in your exhibit fee are 8’ high background drape, 3’ high side drape, one (1) 7” x 44” one-line identification sign (company name and booth number), one (1) 6’ draped table, two (2) side chairs, and one (1) wastebasket. Each booth is 8′ wide and 10′ deep. The exhibit hall is carpeted. Additional items may be purchased in your exhibitor kit that will be sent to you.

We prefer not to be in proximity to the following companies (please list no more than two):

Booths will be assigned at the sole discretion of show management and will be based on the date that the Application is received and consideration of competition. Floor plan will be provided. No specific booth guarantees will be made until payment is received.

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Today

Payment Method*

Credit Cards accepted are Visa, MasterCard and American Express.

I will pay by credit card

I will pay by check (Please send invoice)

Payment Terms

Booths are $3,900 per space reserved before December 6, 2024. After December 6, 2024, the price increases to $4,100 per space. A 50% deposit is due on submission, or you may opt to pay the full amount all at once.
50% Deposit is due upon receipt of application. Balance is due by January 17, 2025. Please make check payable to NASBS

I will pay 50% now

I will pay 100% now

50% deposit now, 50% by January 17, 2025.

Booth Spaces

Booth Spaces*

50% Deposit

$0.00

Total

Credit Card*

American Express

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Exhibitor Agreement*

I am applying for technical exhibit space at the North American Skull Base Society Annual Meeting to be held February 13-16, 2025 at the Sheraton, New Orleans, Louisiana. I agree to accept the conditions, rules, regulations, terms and policies in the Exhibitor Prospectus which form part of this agreement.

I agree to the statement above.