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Florida Society of Anesthesiologists

Florida Society of Anesthesiologists

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Exhibitor Application Form

"*" indicates required fields

Exhibitor Agreement*
I am applying for technical exhibit space at the Florida Society of Anesthesiologists Annual Meeting to be held June 6-8, 2025 at the Breakers in Palm Beach, Florida. I agree to accept the conditions, rules, regulations, terms and policies in the Exhibitor Prospectus which form part of this agreement.

Exhibitor Information

Please indicate company information exactly as it should appear in all official publications.
Mailing Address*

Contact Information

Pre-Show Contact Name*

Booth Assignment:

Booths will be assigned at the sole discretion of show management and will be based on the date of request and consideration of competition. There are a limited number of priority booths available. No specific booth guarantees will be made until payment is received.
BOOTH FEES INCLUDE: 8'x10' booth space, 8 ft. back wall, 3 ft. side walls, one 6 ft. draped table, two chairs, one waste basket., one exhibitor ID sign. Priority booths are in high visibility locations. Early Bird Deadline: March 21, 2025
BOOTH FEES INCLUDE: 8'x10' booth space, 8 ft. back wall, 3 ft. side walls, one 6 ft. draped table, two chairs, one waste basket., one exhibitor ID sign. Priority booths are in high visibility locations. Early Bird Deadline: March 21, 2025
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MM slash DD slash YYYY

Please make check payable to the Florida Society of Anesthesiologists and send to:
FSAHQ, Attn: Jenay Root
11300 W. Olympic Blvd. Suite 600
Los Angeles, CA 90064

For more information, please contact Jenay Root
EMAIL: [email protected]
Credit Card
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Visa
Supported Credit Cards: American Express, MasterCard, Visa
Expiration Date
 
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