2027 ACS Innovation Summit Exhibit Agreement

2027 ACS Innovation Summit

March 11 - 12, 2027

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

Contact Name

First NameLast Name

Contact Email

example@example.com

Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Special Needs

Choose your payment method to make exhibit level selection:

Choose Exhibit Level (Check or ACH Payment)

Additional Exhibitor Registrations - $500 each

# of Additional Exhibitor Registrations

Total Due

Invoice will be sent for the above amount to be paid by check or ACH.

Please mail checks to American College of Surgeons, 633 N St. Clair Street, Chicago, Illinois 60611, Attn: Dana McClure, Exhibit Coordinator. For information on making a payment via ACH, contact Dana McClure at dmcclure@facs.org.

Choose Exhibit Level (Credit Card Payment):

Bronze Level

One 6-foot table Two chairs One identification sign Acknowledged as an exhibitor on the website Registration for two (2) representatives

$3,700.00

Silver Level

One 6-foot table Three chairs One identification sign Acknowledged as an exhibitor on the website

Tabletop sign with exhibit level

Pre-meeting attendee list Registration for three (3) representatives

$5,000.00

Gold Level

Two 6-foot table Four chairs One identification sign Acknowledged as an exhibitor on the website

Tabletop sign with exhibit level

Pre- and post-meeting attendee lists Registration for four (4) representatives

$8,500.00

Platinum Level

Two 6-foot table Five chairs One identification sign Acknowledged as an exhibitor on the website

Tabletop sign with exhibit level

Pre- and post-meeting attendee lists Registration for five (5) representatives

Meet & greet with ACS AEI leadership

$10,000.00

Additional Exhibitor Registrations

Includes access to meals and educational sessions. Please note, exhibitors cannot claim CME unless registered as a general attendee via the main registration website.

$500.00 Quantity

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

This exhibit agreement is due by February 12, 2027.

All fees are due in full upon the submission of this agreement. No exhibit space will be assigned until full payment is received.

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

Exhibit Levels

Payment Details

Choose Exhibit Level (Credit Card Payment):