Exhibitor Application- Surgical Education Week - The Association for Surgical Education

Exhibitor Application

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Exhibitor Information

Company Name*

Address*

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

Phone*

Website*

Exhibitor Contact Information

Name*

First Last

Title*

Phone*

Email*

Exhibit Reservation

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Exhibit Space *

Early bird pricing

Price: $1,850.00

Exhibit Space *

Price: $2,000.00

Promo Code

Total

Included in your exhibit fee are one 6' draped table, two chairs, one wastebasket and one tabletop exhibitor ID sign.

We prefer not to be in the proximity of the following exhibitors (Please list no more than two):

Principle products we will exhibit are:*

Payment Method*

Credit Card*

American Express

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Card Number

Expiration Date

Security Code Cardholder Name

Exhibitor Agreement*

We the undersigned, apply for technical exhibit space at Surgical Education Week 2025 to be held May 8-10, 2025 at the Sheraton Grand Seattle in Seattle, WA. By signing below, you agree to accept the conditions, rules, regulations, terms and policies printed in the Exhibitor Prospectus which form part of this agreement.

Please make check payable to the Association for Surgical Education and send to:
Association for Surgical Education
11300 W. Olympic Blvd. Suite 600
Los Angeles, CA 90064

For more information, please contact Jenay Root at tel: 310-215-1226, ext. 127 or email: [email protected]

Name

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Contact the ASE
Tel: 310-215-1226
Email: [email protected]

Contact the APDS
Tel: 310-320-1200
Email: [email protected]

Official Journal of the Association of Program Directors in Surgery
Journal of Surgical Education
The Impact Factor of this journal is 2.891, ranking it 77 out of 212 in Surgery
ISSN: 1931-7204; Latest issue, Volume 78, Issue 6, November-December 2021

Official Journal of the Association for Surgical Education
Global Surgical Education