2025 TQIP Annual Conference - Exhibit Space Application

2025 TQIP Annual Conference

Exhibit Space Application
Please complete the form below and submit.
Company Name*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website*
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Product Description*
Indicate companies you do not wish to be placed near
Exhibit Fees

A deposit of $1,000 per booth must accompany the application. No applications will be processed without a deposit.
Early-bird rate (Please choose if exhibit application is submitted before July 25, 2025)

$2,150
Exhibitor (Please choose if exhibit application is submitted after July 25, 2025)

$2550 - 10x10 booth includes: (1) 6-foot draped table, (2) chairs, (1) wastebasket, (1) identification sign, (2) exhibitor personnel badges, (1) listing in the exhibitor section of the mobile app, entry for (2) personnel into educational sessions, complimentary breaks, and breakfast.
# of booths: ______ (max 2)*

1 booth2 booths (Additional booth charge)
Additional Badge

$550 (Maximum 2 additional badges per exhibitor, please enter below if you require 1 or 2 additional badge(s).
How many additional badges
Marketing Opportunities
Push Notification Alert $450 each (6 available; limit 1 per exhibiting company) Please select one:

Sunday, Nov 9 BreakfastSunday, Nov 9 AM BreakSunday, Nov 9 LunchSunday, Nov 9 PM BreakMonday, Nov 10 Breakfast
Exhibitor Banner Ad App (6 available; limit 1 per exhibiting company)

$600 each
On-Demand Platform Rotating Left Navigation Ad (8 available; limit 1 per exhibiting company)

$600 each
Total Due *
Additional Marketing/Advertising Opportunities: If you would like information or purchase any of additional marketing/advertising please contact Dana McClure, Exhibit Coordinator at dmcclure@facs.org.
Payment
Payment Type

Check
Please mail checks to American College of Surgeons, 633 N St. Clair Street, Chicago, Illinois 60611, Attn: Dana McClure, Exhibit Coordinator
Credit Card

VisaMastercardAmerican Express
Dana McClure, Exhibit Coordinator, will send you a credit card payment link once the exhibit application is submitted.
By submitting this application for exhibit space, you agree that—as an Exhibitor—you are bound to follow the Exhibit Rules and Regulations.*

Yes, I agree to the Exhibit Rules and Regulations
Should be Empty:

Exhibit Fees

Marketing Opportunities

Payment