Exhibit Space Application

ACFAS 2023 Annual Scientific Conference | February 9-12 | Los Angeles, California

Official Company Information

List your company information as it should appear in the Final Program and on your booth identification sign.

Company Name(Required)

Website

Address(Required)

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

Telephone

Fax

Contact person to receive all meeting correspondence

Contact Name(Required)

First Last

Contact Title

Designation

Salutation

Phone(Required)

Fax

Email(Required)

Mailing Address (if different from company)

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

Booth Registration

Booth	Before 10/15/21	After 10/15/21	Fee if you use non-ACFAS hotel
10' x 10' Inline	$2,425	$2,650	+$140
10' x 10' Corner	$2,675	$2,900	+$150
10' x 20' Inline	$4,850	$5,300	+$270
10' x 20' (1) Corner	$5,100	$5,550	+$280
10' x 10' (2) Corners	$5,350	$5,800	+$290
10' x 30' Inline	$7275	$7950	+$300
Island Booths (minimum 20' x 20')	$25.50/Sq ft	$28/Sq ft	+$570

Choose your booth space:(Required)

10’ x 10’ Inline

10’ x 10’ Corner

10’ x 20’ Inline

10’ x 20’ (1) Corner

10’ x 20’ (2) Corners

10’ x 30’ Inline

Islands Booths (Island Booths are minimum 20’ x 20’)

Island Booth Size

Minimum size is 20’ x 20’

PREMIUM SPACE: Add an additional 6% to the fees listed above. Island Booth payments not received by 11/15/2021 will be invoiced at the $28.00 rate.

Will you be using a non-ACFAS hotel?(Required)

Yes

How will you be planning to pay?(Required)

Credit Card (There will be a 3% additional charge)

Pay by Check

Do you want to use a premium space?(Required)

Yes (There will be a 6% additional charge)

Booth Location Preferences - Premium Booths have Sold Out!

Consult the Exhibit Hall Floor Plan and indicate 6 choices in different areas of the hall. Every effort will be made to accommodate your request, but cannot be guaranteed. You will be invoiced once your booth is assigned. Payment will be due upon receipt via credit card or by check within 10 business days.

1st Choice

2nd Choice

3rd Choice

4th Choice

5th Choice

6th Choice

Principal Products / Service to Be Exhibited(Required)

Exhibitors You Prefer Not to Be Near(Required)

Audio in Booth

Yes

Company Description

Submit your company description – 30-word limit—subject to final editing by ACFAS staff, plus company name. ACFAS does not guarantee narratives will be listed if received after December 10, 2021.

Company Description

Exhibitor Appointed Contractor

Exhibitors planning to use an independent contractor must complete the Request for Exhibitor Appointed Contractor form found in your online service manual (T3expo.com). The contractor must submit an EAC Form and Certificate of Insurance no later than January 24, 2022.

Sponsorship Opportunities

Sponsorship give you the unique opportunity to get your brand in front of physicians throughout the scientific conference. There are numerous ways to creatively engage with attendees at the ACFAS 2022. To start the conversation, contact Dan McNeill at Dan.McNeill@ACFAS.org

AUTHORIZATION—Void without signature

I am an authorized representative of the company with full power to sign and deliver this application. The company listed agrees to comply with all instructions, rules and regulations and agrees to promptly submit all information required by the ACFAS.

Authorized Officer Name

First Last

Authorized Officer Title

Phone

This field is for validation purposes and should be left unchanged.

Stand out even more with attendees by sponsoring one of the many opportunities available in 2023.

Exhibit Space Application

Official Company Information

Contact person to receive all meeting correspondence

Booth Registration

Booth Location Preferences - Premium Booths have Sold Out!

Company Description

Exhibitor Appointed Contractor

Sponsorship Opportunities

AUTHORIZATION—Void without signature

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