USTRS 2020 Exhibitor Contract

Industry Support Agreement

USTRS 2020 Annual Meeting
During AUA in Washington, DC

After completing and submitting this form, a confirmation will be emailed to you.

Sponsor Info:

Urologic Society for Transplantation and Renal Surgery
1950 Old Tustin Avenue, Santa Ana, CA 92705
Phone: (714) 550-9155 | Fax: (714) 550-9234 | Email: info@ustrs.org

Tax ID: 46-3864810 (Click here for W-9 form)

Terms:
Exhibits, oral presentations, symposia, etc. are subject to space and time availability based on final program approval. If exhibit space is unavailable (sold-out), you will receive a full refund of any payments made or be put on a waitlist, at exhibitors request. No refunds for cancellations made 30 days prior to the meeting.

Date / Location:
Sunday May17, 2020, 1:00pm – 5:00pm, Salons AB at W. E. Washington Convention Center

All future contact will be addressed to person indicated below. Please advise us of any changes.

Organization / Company *

Contact Name: *

Title: *

Telephone: *

Web site:

Email Address: *

Optional 2nd Email Address:

Mailing Address: *

City: *

State/Province/Region: *

Zip/Postal Code: *

Country: *

Educational Support Opportunites:

Silver Level ($3,500)

Gold Level ($6,000)

Add-on Support Options:

Signage or Banners in Registration Area (provided by your company) ($250)

Unrestricted grant for the Dr. John Barry Traveling Fellowship Award in Transplantation

Comments:

Agreement: I am an authorized representative for this Company / Organization with full power and authority to sign this Application and Agreement.

Typed Name and Title for Signature: *

Click "Continue" button below to review your order and payment options.