Seattle Surgical Society 2025 Exhibitor Registration

Company Name *

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Exhibitor Fees

PLATINUM LEVEL – $8,000

Maximum appreciation, an opportunity for substantial partnership with the Society
Recognition at the podium, event signage, on final program, and on website
Acknowledgement as Platinum Level Supporter
Invitation for 4 representatives to attend the Annual Banquet at The Ruins
8 exhibitor full access badges

GOLD LEVEL – $6,000

Maximum appreciation, an opportunity for substantial partnership with the Society
Recognition through at the podium, event signage, final program, and on website
Acknowledgement as Gold Level Supporter
Invitation for 2 representatives to attend the Annual Banquet at The Ruins
6 exhibitor full access badges

SILVER LEVEL – $4,000

Recognition at the podium, event signage, final program, and on website
Acknowledgement as Silver Level Supporter
Invitation for 1 representative to attend the Annual Banquet at The Ruins
4 exhibitor full access badges

Choose Fee Option Below *

Platinum ($8,000)

Gold ($6,000)

Silver ($4,000)

Representatives

Please indicate the names and emails of the representatives who will attend the meeting:

1. Rep Name *

1. Rep Email *

2. Rep Name

2. Rep Email

3. Rep Name

3. Rep Email

4. Rep Name

4. Rep Email

5. Rep Name

5. Rep Email

6. Rep Name

6. Rep Email

7. Rep Name

7. Rep Email

8. Rep Name

6. Rep Email

Do not place next to company below:

Comments:

Payment

You have the option to pay by check to be mailed at the following address:

Seattle Surgical Society

6817 208th St SW #90

Lynnwood, WA 98046

Or Pay by Credit card. Note that there is a 3% service charge added to the total to use credit card payments. Please choose the Pay by credit card option below and proceed to the next page.

Payment Option *

Pay by check

Pay by credit card (3%)

Current Total:

$0.00

Questions? Please call our office at 206-794-9124 for more information. You may also send an email to admin@seattlesurgical.org. Website: www.seattlesurgical.org