Exhibitor Application- Surgical Education Week - The Association for Surgical Education

Exhibitor Information
Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Website*
Exhibitor Contact Information
Name*
First Last
Title*
Phone*
Email*
Exhibit Reservation
Exhibit fee is $1,700 on or before January 28, 2022. After such date, the booth fee will increase to $1,850.
Exhibit Space*

Price:
Quantity*
Please enter a number from 1 to 3.
Total
$0.00
We prefer not to be in the proximity of the following exhibitors (Please list no more than two):
Principle products we will exhibit are:*
Payment Method*
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Exhibitor Agreement*
- We the undersigned, apply for technical exhibit space at Surgical Education Week 2022 to be held. May 3-7, 2022 at the Grand Hyatt, San Antonio, Texas. By signing below, you agree to accept the conditions, rules, regulations, terms and policies printed in the Exhibitor Prospectus which form part of this agreement.
Please make check payable to the Association for Surgical Education and send to:
Association for Surgical Education
11300 W. Olympic Blvd. Suite 600
Los Angeles, CA 90064

For more information, please contact Jenay Root at tel: 310-215-1226, ext. 127 or email: [email protected]

Contact the ASE
Tel: 310-215-1226
Email: [email protected]

Contact the APDS
Tel: 310-320-1200
Email: [email protected]

Official Journal of the Association of Program Directors in Surgery
Journal of Surgical Education
The Impact Factor of this journal is 2.891, ranking it 77 out of 212 in Surgery
ISSN: 1931-7204; Latest issue, Volume 78, Issue 6, November-December 2021

Official Journal of the Association for Surgical Education
Global Surgical Education

Exhibitor Information

Exhibitor Contact Information

Exhibit Reservation