Association of VA Surgeons 2021 Virtual Exhibit

Association of VA Surgeons

45th Annual Meeting (VIRTUAL)

April 25-26, 2021

The Association of VA Surgeons invites you to join us at our 45th Annual "VIRTUAL" Meeting. Your company name will be posted on our virtual platform, website, and final program.

The scientific sessions will begin on Sunday, April 25, 2021 at 10:00 a.m. EST, and ends on Monday, April 26 at 1:30 p.m EST. Breaks will be planned for attendees to meet with exhibitors virtually.

Company Name *

Contact First Name *

Contact Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Names of representatives attending:

Exhibit Registration

Exhibit Level *

Platinum ($15,000)

Gold ($10,000)

Silver ($5,000)

Bronze ($2,000)

Payment Information

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

Association of VA Surgeons

PO Box 2459

Lynnwood, WA 98036

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

Service charge for credit card payments (3% of total order)

Current Total:

$0.00

Note: we accept credit card payments but will require a 3% service charge.