2026 ACS AEI Surgical Simulation Summit Exhibit Agreement

2026 ACS Surgical Simulation Summit

March 12 - 13, 2026

Exhibit Agreement

Please complete the form below and submit.

Company Name*

Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Company's Website*

Company Logo**

Contact Name*

First NameLast Name

Contact Email*

example@example.com

Contact Phone Number*

Please enter a valid phone number.

Product Description*

Special Needs

Supporter - 6-foot table

$3,300 (Three complimentary badges are included)

Partner - 6-foot table

$5,500 (Three complimentary badges are included)

Leader - Two 6-foot tables

$7,700 (Four complimentary badges are included)

Champion - Two 6-foot tables

$11,000 (Five complimentary badges are included)

Additional Badge

$450 each

How many additional badges

Please check if your company would like to do any additional marketing/advertising opportunities

Networking Reception Co-Support - $5,000 (2 available)AM or PM Break Support - $3,000 (4 available)

If you would like more information regarding additional marketing or advertising opportunities, please contact Dana McClure, Exhibit Coordinator, at dmcclure@facs.org.

Please check if your company will be contributing an educational grant

Educational Grant

List the educational grant amount designated

Total Due *

*The Exhibit Fees are due in full with the submission of this agreement. No exhibit space will be assigned unless ACS receives the full exhibit fee.

Yes, I agree to pay the exhibit fees in full upon submission of this agreement

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, ACS Exhibit Coordinator, will contact you regarding credit card payments.

Please include the name, title, and contact information for each attendee.

Rep Name

First NameLast Name

Title

Rep Email

example@example.com

Rep Name

First NameLast Name

Title

Rep Email

example@example.com

Rep Name

First NameLast Name

Title

Rep Email

example@example.com

Rep Name

First NameLast Name

Title

Rep Email

example@example.com

This exhibit agreement is due by February 12, 2026.

By submitting this application for exhibit space, you agree that, as an Exhibitor, you are bound to follow the Exhibit Rules and Regulations that are listed in the exhibit prospectus.*

Yes, I agree to the Exhibit Rules and Regulations listed in the exhibit prospectus

Exhibit Fees

Payment

Rep Badge Names