Exhibitor Application

Exhibitor Information
Please indicate company information exactly as it should appear in all official publications.
Company Name*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone*
Company Website*
Type of Product
Contact Information
Is the On-Site Exhibit Manager the same as the Pre-Show Contact?
- Yes
- No
Pre-Show Contact Name*
First Last
Pre-Show Contact's Title
Pre-Show Contact Phone*
Pre-Show Contact Email*
On-Site Exhibit Manager Name*
First Last
On-SIte Exhibit Manager's Title
On-Site Exhibit Manager Email*
On-Site Exhibit Manager's Cell Phone*
Exhibit Reservation
Included in your exhibit fee are 8’ high background drape, 3’ high side drape, one (1) 7” x 44” one-line identification sign (company name and booth number), one (1) 6’ draped table, two (2) side chairs, and one (1) wastebasket. Each booth is 8' wide and 10' deep. The exhibit hall is carpeted. Additional items may be purchased in your exhibitor kit that will be sent to you.
Payment Terms*
Booths are $3,700 per space reserved before December 9, 2022. After December 9, 2022, the price increases to $3,900 per space. A 50% deposit is due on submission, or you may opt to pay the full amount all at once.
- I will pay 50% now
- I will pay 100% now
We prefer not to be in proximity to the following companies (please list no more than two):
Booths will be assigned at the sole discretion of show management and will be based on the date that the Application is received and consideration of competition. Floor plan will be provided. No specific booth guarantees will be made until payment is received.
50% deposit now, 50% by January 20, 2023.
Booth Spaces at 50% Deposit*
Booth Spaces- pay in full*
Total
$0.00
Payment Method*
50% Deposit is due upon receipt of application. Balance is due by January 20, 2023. Please make check payable to NASBS Credit Cards accepted are Visa, MasterCard and American Express.
- I will pay by credit card
- I will pay by check (Please send invoice)
Credit Card*

American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Exhibitor Agreement*
- I agree to the statement below.
I the undersigned, apply for technical exhibit space at the North American Skull Base Society Annual Meeting to be held February 17-19, 2023 at the JW Marriott Tampa Water Street, Tampa, Florida. I agree to accept the conditions, rules, regulations, terms and policies in the Exhibitor Prospectus which form part of this agreement.
Phone
This field is for validation purposes and should be left unchanged.

Exhibitor Information

Contact Information

Exhibit Reservation