Exhibitor Request

Download Washington State Urology Society Exhibitor form WSUS 2016

Washington State Urology Society Exhibitor Request Form

WSUS Annual Conference June 24 – June 26, 2016 Sleeping Lady, Leavenworth WA

  •   Please complete and fax your company exhibitor request form to WSUS 800-808-4749 to reserve your space.
  •   Full payment is needed to secure your exhibit space. Faxing your form will hold your space until we have 20 exhibits sold. You will be notified if you are at risk of losing your exhibit space on hold prior to payment being received by the society.
  •   Remaining balance of exhibit fee must be received by May 1st in order to confirm your exhibit space. WSUS exhibit policy will be to release unpaid exhibit space by May 2nd to companies on a waiting list to exhibit at the annual conference. The venue is limited to 25 exhibitors.
  •   It is recommended that all representatives attending the conference take advantage of the weekend meal packages to maximize their interaction and networking with conference attendees. These MUST BE purchased in advance due to the site of the conference which is an all-inclusive type property. (See Sleeping Lady Fax-In Form)
  •   This program is being advertised to urologists and office administrators primarily in Washington State. A majority are from the Puget Sound area.Name_________________________________________________________________________________Company_____________________________________________________________________________Address_______________________________________________________________________________

    City___________________________________________________State________Zip________________

    Phone___________________________________Fax__________________________________________

    E-mail address (required)_____________________________________________________________________________

    List of Company Representatives to be included with Exhibitor table display fee:
    1) ___________________________________ email___________________________________

    (FREE rep badge included with exhibit fee)
    2) ___________________________________ email______________________________

    (Additional FREE rep badge included with Gold Sponsorship)
    3) ___________________________________ email______________________________

    □ Need an electrical outlet
    □ We will NOT need an electrical outlet

    Washington State Urology Society: Tax ID# 91-1246792 914 164th St. SE, Suite B-12 #244, Mill Creek, WA 98012 www.wsus.org 866-800-3118 toll free 800-808-4749 fax

(Additional FREE rep badge included with Platinum Sponsorship) Our Company plans to support the WSUS Annual Program:

  • □  A 6 foot exhibitor table display ($1250)
  • □  Gold Sponsorship ($2500)
  • □  Platinum Sponsorship ($5000)
  • □  Corporate Membership ($7500)
  • □  Full Page Ad in conference syllabus ($500)
  • □  Full Page Ad in conference syllabus ($500)
  • □  Half Page Ad in conference syllabus ($300)
  • □  5-minute infomercial during conference ($500). This opportunity only available to paid exhibitors.

Debi Johnson: djmgmt@earthlink.net 425-971-5822 mobile

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