Company InformationCompany Name (as you would like it to appear in the program)(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Website(Required) Contact InformationContact Name(Required) First Last Contact Email(Required) Contact PhoneMarketing & Visibility SponsorshipsAll opportunities include: Complimentary booth for sponsorships valued at $6,000 or more Priority placement for exhibit booth to highlight sponsorship Recognition on FSA Website Recognition in marketing materials for meeting Recognition in program Recognition and signage at meeting Recognition and signage at sponsored event Link to your website from the FSA Annual Meeting WebsitePlease select your sponsorship opportunity(Required) Diamond Level Sponsorship – $35,000 Gold Level Sponsorship – $15,000 Networking Happy Hour – $8,000 Welcome Reception – $6,500 Anesthesia Jeopardy – $6,000 Electronic Posters – $5,000 or $3,000 Wine or Coffee Pour – $5,000 or $4,500 Door Drop – $5,500 (+Production) Pickleball Tournament Sponsorship – $5,000 or $3,000 (+Production) Lunch in Exhibit Hall – $4,000 Charging Station – $3,000 (+Production) Women’s Lunch – $3,000 Diamond Level SponsorshipIncludes: Recognition as host of Anesthesia Jeopardy Acknowledgment as sponsor of coffee break Customized hotel door drop (to be dropped inside the room of every attendee staying at the Breakers on peak night) One complimentary exhibit space in priority location (includes four badges) Recognition of support by FSA president during opening and closing remarks Recognition on signage in registration area Opportunity to display brochures/literature in the meeting registration area Recognition in the PDF meeting program Recognition on the FSA website Price: Gold Level SponsorshipIncludes Customized hotel door drop (to be dropped inside the room of every attendee staying at the Breakers on peak night) One complimentary exhibit space in priority location (includes four badges) Recognition of support by FSA president during opening and closing remarks Recognition on signage in registration area Opportunity to display brochures/literature in the meeting registration area Recognition in the PDF meeting program Recognition on the FSA website Price: Breakfast SponsorshipBe the exclusive sponsor of a breakfast on Friday, June 12 or Saturday, June 13. These events will feature a buffet breakfast and you will have the opportunity to bring in a speaker of your choice for an address on a topic that is relevant to our attendees (pending approval of the program committee chairs). The opportunity to add non-CME content to the official program for the meeting One complimentary exhibit space in priority location to highlight breakfast (includes four badges) Price: Please choose your breakfast date(Required) Friday, June 12 Saturday, June 13 Networking Happy HourAfter a long day of scientific sessions, your support will provide refreshments for meeting attendees including attending physicians and residents on Saturday, June 13. Hosted in a premier location 20 drink tickets to be distributed at your choosing One complimentary exhibit space in priority location to highlight event (includes four badges) Price: Welcome ReceptionThis relaxed and fun-filled event is held in the exhibit hall on Friday, June 12. All meeting participants are invited to mingle and enjoy food and beverages. One complimentary exhibit space in priority location to highlight event (includes four badges) Price: Anesthesia JeopardyThis annual competition on Saturday, June 13 draws a large crowd, providing YOU with high exposure. Represent your organization with a role as an active host for this activity The opportunity to interact with residents at a fun-filled, popular event One complimentary exhibit space in priority location to highlight sponsorship (includes four badges) Price: Please choose your Electronic Poster option(Required)The FSA will again offer electronic posters at the 2026 Annual Meeting, allowing for a more dynamic experience for attendees. Capture their attention by sponsoring the posters. Priority placement for exhibit booth to highlight sponsorship (booth not included in sponsorship fee) $5,000 Option (Exclusive Opportunity) $3,000 Option Electronic Posters – $5,000 OptionFor a prerecorded commercial, up to 30 seconds in duration, to run multiple times throughout the day on the TV monitors. Price: Electronic Posters – $3,000 OptionFor a slide with your company logo, a QR Code linked to your website, and your company/product description on the TV monitor. The slide will be displayed for two minutes at least every 45 minutes. Price: Please select a wine or coffee pour(Required)Host wine pours right in your booth during the Welcome Reception. Attendees can avoid long lines at the bars and come straight to your booth for a glass of wine and talk to you about your products at the same time. Or, you may choose to pour coffee in your booth during a morning or afternoon refreshment break. The society pays for the wine and coffee which will draw attendees right to your booth. Hotel will provide wine or coffee, glasses, cups, etc. A Breakers hotel representative will pour the wine or coffee during the event. Priority placement for exhibit booth to highlight sponsorship (booth not included in sponsorship fee) Wine Option – $5,500 Coffee Option – $4,500 Wine Pour Price: Coffee Pour Price: Door DropBe one of the first companies visible to attendees when you partner with FSA to exclusively sponsor the Hotel Door Drop. This is your chance to include announcements, invitations, samples and sales literature that will be hand-delivered to the hotel room of every registered FSA attendee at the Breakers. As the exclusive supporter, you can design a door drop bag to include your company name and logo. Priority placement for exhibit booth to highlight sponsorship (booth not included in sponsorship fee) Price: Pickleball Tournament Sponsorship(Required)BRAND NEW! Be the headline sponsor of this competitive and fun-filled activity. For $5,000 plus production charges, you’ll be the headline sponsor and you can brand SWAG (i.e. paddles) with your corporate logo. The $3,000 is for a sponsorship only. Priority placement for exhibit booth to highlight event sponsorship (booth not included in sponsorship fee) Swag Option – $5,000 (Exclusive Opportunity) No Swag Option – $3,000 Pickle Ball Tournament – Swag Option Price: Pickle Ball Tournament – No Swag Option Price: Lunch in Exhibit HallSpotlight your company front and center during the luncheons in the exhibit hall on Friday, June 12 or Saturday, June 13. These events will feature a buffet lunch. Priority placement for exhibit booth to highlight event sponsorship (booth not included in sponsorship fee) Price: Please select your lunch date(Required) Friday, June 12 Saturday, June 13 Charging StationGain extra visibility by sponsoring the charging station for mobile devices. The station will be located in the registration area, making it highly visible to attendees as they take advantage of the opportunity to charge their devices throughout the meeting. Priority placement for exhibit booth to highlight sponsorship (booth not included in sponsorship fee) Price: Women's LunchPut your name on this event on Saturday, June 13 that is all about fostering synergy and camaraderie among our female attendees. Support women in anesthesiology Priority placement for exhibit booth to highlight event sponsorship (booth not included in sponsorship fee) Price: Payment DetailsPlease make checks payable to: Florida Society of Anesthesiologists 15821 Ventura Blvd., Suite 400, Encino, CA 91436. After submitting your application, please see the invoice attached to your confirmation email for wire/ACH instructions.Payment Method(Required) Check Credit Card – Only for payments under $15,000 Wire/ACH Total Credit Card(Required)Credit Cards accepted are Visa, Discover, MasterCard and American Express. American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name This field is hidden when viewing the formToday
