Commercial Poster Exhibit Application

Company Name

Contact Name

First Last

Contact Title

Address

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

Phone

Fax

Payment Method

Payment by Credit Card

Payment by Check

Payment by Check
Return Complete Application and 250 words or less abstract with your check in the amount of $300 made payable to:

American College of Foot and Ankle

Mail to:

American College of Foot and Ankle
Department 4528, Carol Stream, IL 60122-4528

COST: $300

Commercial posters may be exhibited only by companies that also reserve a booth in the exhibit hall at the February 24-27, 2022 Annual Scientific Conference.

Application Must be received by December 1, 2022

Mail or Fax completed form and abstract to:

8725 West Higgins Road, #555
Chicago, IL 60631-2724
Attn: Maggie Hjelm
Email: hjelm@acfas.org
Phone: 800.421.2237
Fax: 800.382.8270

Authorization(Required)

The Company listed agrees to comply with all instructions and Rules and Regulations and agrees to promptly submit all information required by the ACFAS

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Commercial Poster Exhibit Application

COST: $300

Application Must be received by December 1, 2022

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