"*" indicates required fields Institution InformationPlease indicate institution information exactly as it should appear in all official publications.Institution Name*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Contact Name* First Last Phone*Email* Website* Institution Logo*Max. file size: 512 MB.Main Social Event SponsorshipsMain Social EventMardi Gras – $25,000Fat Tuesday – $10,000King Cake – $5,000Institutional Level SponsorshipInstitutional Level SponsorshipGold – $25,000Silver – $15,000Bronze – $7,500Marketing and Visibility Opportunities Satellite Symposium Escalator Runner Escalator Clings Elevator Clings (1) Pillar Wrap (2) Pillar Wraps Official Door Drop Hotel Key Cards Exhibit Aisle Signs Charging Station Meeting App Ad Marketing and Visibility TotalsThis field is hidden when viewing the formSubtotalSATELLITE SYMPOSIA GUIDELINES “Satellite Symposium” refers to any activity that is deemed educational in nature and is independently organized and offered by another organization. APPLICATION SUBMISSION PROCESS AND DEADLINES Please submit the official NASBS Satellite Symposia Application and a proposal. The proposal should include the title of the program and presentations, learning objectives, proposed speaker names, target audience and invitation process. Please note that time and space are limited. Application Deadline: December 6, 2024. CRITERIA FOR ELIGIBILITY Acceptance of the proposed satellite symposium will be based on educational content. The satellite symposium must meet the following criteria: -Provide high-quality information that practicing physicians and surgeons need to provide improved patient care -Offer balanced information and provide an objective viewpoint of the subject matter presented The Organization must: 1. Fulfill any funding obligations 2. Hold NASBS harmless from any and all claims that may result from the meeting NASBS reserves the right to: 1. Limit the number of industry organized events 2. Consult with the organization to assure appropriateness of any activity outcome SCHEDULING The following times are available: -Thursday, March 5, 2026, 6:00 pm – 8:30 pm -Friday, March 6, 2026, 7:30 pm – 9:30 pm Upon receipt of support confirmation form with payment information, a representative from the NASBS office will be in touch with you to confirm the date and time of your symposium. MARKETING NASBS encourages independent promotion of approved symposia. All marketing materials must be approved through NASBS prior to release and distribution. Commercial displays will not be allowed in the meeting room at any time. Signage at the hotel will be allowed only on the day of the symposium. Signs are limited to two in front of the session room, two hours in advance of the symposium. NASBS will promote the program in the following methods: 1. Symposia information is provided in the Advance Program (on the website) and the Final Program (in the meeting app and website) 2. To assist with your marketing efforts, NASBS will provide a pre-registration mailing list Financial Considerations-Direct Costs: All organizations will be responsible for the management of their event’s logistics and payment of direct costs associated with promotion, presenters, catering and audio-visual equipment & labor. Upon NASBS approval of the satellite symposium, the symposium provider will be invoiced for the total due. Payment is expected within 30 business days of invoice issuance. KEY CARDS: $5,000 + PRODUCTION (SUBJECT TO HOTEL COSTS) Want to make a big visual impact? Put your company’s artwork on the hotel room key cards for the NASBS meeting participants. One of the first things attendees will see upon arrival, and something they will continue to use and see everyday is their hotel room key card. Put your company logo and the meeting logo on the hotel room key for high visibility. EXHIBIT AISLE SIGNS: $4,000 + PRODUCTION AND RIGGING CHARGES Draw more traffic to your booth by placing your company name throughout the exhibit hall. Each hanging aisle sign will include your company logo, making it easy for attendees to find your booth. OFFICIAL DOOR DROP: $6,000+ PLUS HOTEL CHARGES Be one of the first companies visible to attendees by having an announcement, invitation, or sales literature hand-delivered to the hotel room of every registered NASBS attendee. Material must be approved by NASBS management in advance. Pillar Wraps Wrap the pillars outside of the entrance to the scientific session room. You may choose to wrap one or two pillars. Your company branding and message will be prominently displayed as attendees make their way into the scientific sessions each day. Contact NASBS Management for specs. All artwork must be approved by NASBS management prior to production. Charging Station: $3,000 + Production Gain extra visibility by sponsoring the charging station for mobile devices. The station will be located in the Registration area, making it highly visible to attendees as they take advantage of the opportunity to charge up their devices throughout the meeting.Meeting App Advertising Put attendees in the palm of your hand by advertising on the NASBS Meeting App for mobile devices. Opportunities will include banner ads, extended company descriptions for exhibitors, inclusion of media items for exhibitors and more.Payment Method*CheckCredit CardTotal Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Please make check payable to the NASBS and send to: NASBS 11300 W. Olympic Blvd. Suite 600 Los Angeles, CA 90064 For more information, please contact Jenay Root at tel: 310-424-3326, ext. 127 or email: [email protected]
