| CHECK ONE – Please reserve exhibits space for:
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| Total: $ |
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(Please indicate any firm(s) you would NOT like to be next to or across from)
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| IF YOU PREFER TO PAY BY CHECK, COMPLETE THE MAIL IN APPLICATION AND MAIL WITH CHECK TO: Trauma & Critical Care |
| Mail Application & Check to: |
Mary Allen, Program Coordinator
Trauma and Critical Care Foundation
P.O. Box 35850
Houston, Texas 77235
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Reservation Authorized By: |
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Telephone: |
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Fax: |
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Email: |
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Firm Name to Appear on Sign: |
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Address: |
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City: |
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State: |
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Zip: |
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Representative: |
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| Correspondence Information: |
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Address for Correspondence: |
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Correspondence City: |
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Correspondence State: |
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Correspondence Zip: |
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Description of your company/product (will be printed in program) – must be submitted for your application to be considered. |
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Website: |
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Please select YES here if you wish an expanded role in the conference and we will send you additional information
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Expanded Role in the Conference: |
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I understand that Exhibit fees are nonrefundable
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Eligibility for Exhibiting: The exhibits are an extension of the educational program content of the course. For your application to be accepted, the product(s) and services must be related to the practice of surgery or medicine. Exhibitors may only display products and services that they manufacture or distribute. All exhibiting companies’ products and services must be approved by the Conference Exhibit Manager. We reserve the right, even after an application has been approved, to refuse exhibits, curtail activities, or to close exhibits or parts of exhibits that do not, in the Program Committee’s assessment, comply with its rules and regulations.
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| Payment Information |
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