16th Symposium on Cochlear Implants in Children

Similar documents
2017 ANNUAL CONFERENCE

PENNSYLVANIA CERTIFICATION BOARD

NCSA/ SCSA 2011 Annual Meeting

Iowa Mortgage Association 65th Annual Convention. Exhibitor Prospectus. October 1-3, 2018 West Des Moines Marriott, West Des Moines, Iowa

2018 MNA ANNUAL CONVENTION

Invitation to Exhibit or Sponsor. Pennsylvania Decentralized Wastewater Conference and Trade Show. January 29-30, 2018

EXHIBITOR PROSPECTUS VIRGINIA ACADEMY PHYSICIANS Annual Meeting & Exposition. The Williamsburg Lodge Williamsburg, Virginia OF FAMILY

CLP 2018 Exhibitor Prospectus

2018 Housing Conference SPONSOR & EXHIBITOR PROSPECTUS

2018 Housing Conference SPONSOR & EXHIBITOR PROSPECTUS

PAY SPECIAL ATTENTION TO THE TIME YOU ARE ALLOWED TO BREAK DOWN ON WEDNESDAY AND THE ASSOCIATED PRIZE DRAWINGS

2016 Sponsorship Opportunities: Building Bridges for a Better Tomorrow, Today

EXHIBITOR PACKET. Leadership / Convention July 12-14, 2013 Innisbrook Resort and Golf Club Palm Harbor, Florida

2016 NATIONAL CLUSTER MEETINGS Denver, CO - Nov. 4-6, 2016 Orlando, FL - Nov , 2016 EXHIBITOR PROSPECTUS EXHIBIT. SPONSOR. ADVERTISE. Pg.

EXHIBITOR PROSPECTUS & SPONSORSHIP OPPORTUNITIES

June 10-13, 2018, Washington, D.C.

2018 Annual Conference Sponsor and Exhibitor Packages

2015 Exhibitor Prospectus. American Association for the Surgery of Trauma (AAST) September 9-12, 2015 Wynn Las Vegas, NV

Exhibit & Marketing Opportunities

Sponsorship, Advertising, and Exhibit Opportunities

Advanced Trainer Exhibitor & Sponsorship Opportunities

Be Part of APC s Jubilee Celebration! Important Deadlines. Early Application (Discount) Deadline Application Approved by December 31, 2016

2017 Partnership Opportunities

EXHIBITOR PROSPECTUS & SPONSORSHIP OPPORTUNITIES

2013 Tradeshow Exhibitor Contract

MAY 9-12, 2017 WESTIN HARBOUR CASTLE HOTEL

LAS VEG A S FALL MEETING. Cosmetic Bootcamp CORE AESTHETIC. October 14-16, October 14-16, Non-Physician Provider. for the

PENNSYLVANIA BAR ASSOCIATION ANNUAL MEETING May 4 6, 2011 Sheraton Philadelphia City Center Hotel Philadelphia, Pennsylvania

EXHIBITOR, SPONSORSHIP, AND ADVERTISING OPPORTUNITIES For the Western Region IPMA-HR Annual Training Conference In Sacramento April 25-27, 2018

MAHC Has Your Recipe for Success!

Michigan Association of Planning. Annual Conference September th, 2017 Mission Point Hotel, Mackinac Island. August 15, 2017

SUPPORT & EXHIBITOR PROSPECTUS

Multifaceted COSHRM OUT OF THE ORDINARY INTO THE EXTRAORDINARY. State Conference EXHIBITOR PROSPECTUS. September 27 29, 2017 Keystone CO PRESENTED BY

New this year: What happens at the Expo will not stay at the Expo! Schedule of Events: Tuesday, September 28. Back by popular demand: FREDERICK

Vendor Booth Rental & Program Advertisement Opportunities

2018 Annual Meeting. Exhibit Prospectus. July Yacht & Beach Club. Orlando, Florida

AWAKEN your force FFEDA Annual conference and trade show. Exhibitor Prospectus / Sponsorship opportunities

American Nurses Credentialing Center 2012 ANCC NATIONAL MAGNET CONFERENC EXHIBIT RULES AND GUIDELINES January 1, 2012

76TH ANNUAL CONFERENCE SEATTLE, WASHINGTON ~ JULY 14-17, 2013 THE WESTIN SEATTLE HOTEL

2017 IHCA Convention & Trade Show INVITATION TO PARTICIPATE. Sponsorship Information. Trade Show. Advertising Information.

CONFERENCE FOR CATHOLIC FACILITY MANAGEMENT (CCFM) New Orleans, Louisiana May 8 10, 2014

Secure your sponsorship/exhibitor opportunity early, as they sell out quickly with 30 exhibitor tables available.

MISSISSIPPI S ONLY STATE ASSOCIATION COMPLETELY DEVOTED TO NURSE PRACTITIONERS

July, For sponsorship and exhibitor inquiries, contact Briana Blanchard at or

57 th Annual Conference Translational Nutrition The Science of Personalized Nutrition EXHIBITOR PROSPECTUS

NCDR.18 EXHIBITOR PROSPECTUS. Annual Conference March 7 9, 2018 Caribe Royal Orlando Orlando CARIBE ROYALE ORLANDO

About the American Academy of Pediatrics AAP National Conference & Exhibition Definition of Industry Symposium

Facilitating The Success

The Seventh Annual Meeting of the American College of Wound Healing and Tissue Repair

EXHIBITOR PROSPECTUS. September 29 October 1, 2013 Gaylord National Hotel

2018 NETA Conference: Educate Engage January in Washington, D.C.

Ancillary Events - Frequently Asked Questions

SPS 2012 GUIDELINES FOR SPONSORED PRESENTATIONS/FUNCTIONS

2018 Industry-Supported Symposia Guidelines

September 16-19, 2012 Gaylord National Resor t National Harbor, MD. NRMCA s. & Board of Directors Meeting. Exhibitor PROSPEC TUS

Shine Bright Like a. Exhibitor Prospectus Annual Convention. Florida Court Reporters Association

National Association of Estate Planners & Councils

Friday, April 17, Don t miss this Exhibit Opportunity!

EXHIBITOR AND SPONSORSHIP OPPORTUNITIES

Exhibitor Prospectus

2 Cultivate tomorrow s leaders in disaster planning. 3 Unite a variety of associations and their membership

Annual Biomedical Research Conference for Minority Students. Exhibit & Sponsorship Prospectus

ICCE 36TH INTERNATIONAL CONFERENCE ON COASTAL ENGINEERING 2018 EXHIBITOR AND SPONSORSHIP OPPORTUNITIES. Baltimore, Maryland July 30 August 3, 2018

CONFERENCE PROSPECTUS

EXHIBITING SPONSORSHIP ADVERTISING

Exhibitor Prospectus EXCELLENCE INALLWE DO. The Nurse Practitioner Association New York State 32nd Annual Conference

TO: PBS Annual Meeting Business Partners FROM: Naseem Hussain, PBS DATE: February 6, 2013

Exhibitor & Sponsor Prospectus 2014 The 17 th New York State Cyber Security Conference AND. 9 th Annual Symposium on Information Assurance

ICP+TC 2018 XXIXth International Conference on Polyphenols

About the American Academy of Pediatrics AAP National Conference & Exhibition Definition of Industry Symposia and Foundation Symposia

PARTNER, EXHIBITOR & SUPPORTER PROSPECTUS

CALL FOR EXHIBITORS & SPONSORS. Exhibit Hall Hours / Events

Supporter/ Exhibitor Prospectus

Just the Facts. 1. Center for Exhibition Industry Research (CEIR) 2. MerchantCircle Annual Conference Evaluations

NPA. Exhibitor and Sponsor Prospectus. for the 2017 NPA Annual Conference

2017 Annual Scientific Meeting. October 18 21, 2017 Sheraton Grand Phoenix

SPONSORSHIP AND EXHIBITION PROSPECTUS

2014 Annual Convention Trade Show

2017 NATSAP ANNUAL CONFERENCE

SIEL BIENNIAL CONFERENCE

2018 Sponsorship Prospectus.

COLLABORATION EDUCATION

2018 exhibit or kit. Baltimore-Washington Conference of The United Methodist Church

2018 Florida Literacy Conference Exhibitor Information Kit

American Nurses Credentialing Center 2017 ANCC NATIONAL MAGNET CONFERENCE EXHIBIT RULES AND GUIDELINES October 1, 2016

FLORIDA ASSOCIATION OF CODE ENFORCEMENT

ST. LUKE S LUTHERAN CHURCH FACILITIES USE POLICY 4051 King Wilkinson Road Lincolnton, NC

EXHIBITOR PROSPECTUS AND

Exhibiting at the 97th Annual WIAWWA Conference in September in Madison

CIPC STRATEGIC PARTNERSHIP $20,000

You re Invited... All the Right Moves. Positioning your practice for success. San Francisco, CA June 9 12

Canadian Paediatric Society 95 th Annual Conference

Society for Melanoma Research

Sponsorship and Exhibition Prospectus

BUILDING EXPERTISE NATIONAL CONFERENCE

EXHIBITOR, ADVERTISING, & SPONSORSHIP OPPORTUNITIES

33rd ANNUAL MEETING Pain as a Public Health Issue

BUILDINGENERGY BOSTON MARCH 8-10, 2016 SEAPORT WORLD TRADE CENTER

Champaign-Urbana, Illinois

Sponsorship Prospectus

Transcription:

CI2019 Pediatric: 16th Symposium on Cochlear Implants in Children EXHIBITOR PROSPECTUS DATE & LOCATION: July 10-13, 2019 The Diplomat Beach Resort Hollywood, FL SPONSORS: American Cochlear Implant Alliance and University of Miami, Department of Otolaryngology/Ear Institute www.ci2019miami.org MIAMI

Dear Exhibitor, On behalf of the American Cochlear Implant Alliance (ACI Alliance) and University of Miami, Department of Otolaryngology/ Ear Institute, you are invited to join us at CI 2019 Pediatric: 16th Symposium on Cochlear Implants in Children to be held on July 10-13, 2019 at The Diplomat Beach Resort in Hollywood, FL. The ACI Alliance is a non-profit organization whose mission is to advance access to the gift of hearing provided by cochlear implantation through research, advocacy and awareness. To learn more about the American Cochlear Implant Alliance, visit our : www.acialliance.org. The CI2019 Pediatric Symposium brings together over 1,300 physicians, audiologists, speech pathologists, educators, hearing scientists, and members of the industry. This three-day meeting provides educational and networking opportunities, as well as the chance to interact directly with you, our corporate partners. Attendees come prepared to explore a range of hearing loss products and technologies so anticipate a high level of engagement! For additional conference information, please visit our at www.ci2019miami.org. This year, we are offering several exhibiting opportunities, as well as marketing opportunities that will help to promote your brand. If you have any questions about exhibiting or providing an educational grant, please contact me directly at 312-202-5298 or khastings@facs.org. The ACI Alliance values its partnership with our corporate colleagues. We are confident that our conference will meet all of your expectations and we look forward to seeing you in Hollywood! Sincerely, Kate Hastings CI2019 ACI Alliance Exhibit Coordinator c/o American College of Surgeons 633 North Saint Clair Street Chicago, IL 60611 312-202-5298 khastings@facs.org EXHIBIT LEVELS & FEES Non-Profit Exhibitor: $1,000 (must be pre-approved by ACI Alliance) z (1) 6 ft. draped table z (1) Complimentary registration for signage, and in the Program Book. z All equipment must be placed on (1) 6-foot draped table and fit within the allotted space (6 feet or 12 feet wide x 3 feet deep). Ruby Exhibitor: $5,000 z 10 x10 exhibit space z (5) Complimentary registrations for signage and in the Program Book z Advance attendee list (mailer subject to ACI Alliance Exhibit Management approval) Government Exhibitor: $1,500 z (1) 6 ft. draped table z (2) Complimentary registrations for signage, and in the Program Book. z All equipment must be placed on (1) 6-foot draped table and fit within the allotted space (6 feet or 12 feet wide x 3 feet deep). Gold Exhibitor: $25,000 z 20 x20 exhibit space z (15) Complimentary registrations for signage and in the Program Book z Advance attendee list (mailer subject to ACI Alliance Exhibit Management approval) Silver Exhibitor: $2,500 (Silver Publisher Exhibitor: $1,750) z (1) 6 ft. draped table z (2) Complimentary registrations for signage, and in the Program Book. z All equipment must be placed on (1) 6-foot draped table and fit within the allotted space (6 feet or 12 feet wide x 3 feet deep). www.ci2019miami.org

EXHIBIT RULES AND REGULATIONS The Exhibition will take place at The Diplomat Beach Resort and Spa in Hollywood, FL. ELIGIBILITY TO EXHIBIT All products and services must be approved by ACI Alliance Exhibit Management in its sole and absolute discretion. All decisions of ACI Alliance Management are final. Exhibitors may only display those products and services that they manufacture or distribute. Any product that is an investigational device or drug must be clearly marked as such. Exhibitors must ensure that with respect to all such devices or drugs only permissible pre-approved dissemination of scientific and educational information is provided at the exhibit and that appropriate disclosure and cautionary notices are included with the devices or drugs. All products and services exhibited at CI2019 shall comply with U.S. Food and Drug Administration (FDA) rules and regulations (particularly with respect to the marketing and labeling of investigational devices and drugs) and other applicable rules and regulations. For additional information, contact: FDA 888-463-6332 or http://www.fda.gov An exhibitor shall not in any manner directly nor indirectly imply that ACI Alliance endorses or approves of an exhibitor s product or service merely because ACI Alliance Exhibit Management approved such product or service for display at CI2019. The use of logos, seals of approval, trademarks, or other similar property rights that are in disuse may not be used in connection with any product or service or advertising material displayed or disseminated at the exhibit. BOOTH RATE AND PAYMENT SCHEDULE No applications will be processed without full payment. A deposit of 50% is due upon receipt of application. Full payment is due by May 18, 2019. Failure to submit full payment by this date may result in cancellation of space and a penalty. All applications received after May 18, 2019 must be received with full payment. EXHIBIT CANCELLATION POLICY Cancellation of exhibit space after May 18, 2019, will result in a penalty of 100% of the total cost of the space assigned. DISPLAY AND LIMITATIONS All display areas will be marked off by the contracted decorator. Maximum height of any free-form exhibit that is 400 sqft or less, including signs, may not exceed 8. Fire code regulations prohibit storage of any material behind booths. All items for storage must be properly labeled and marked. Empties will be removed prior to the opening. Any items stored behind the booth will be removed and considered refuse. Exhibitors requiring storage of product must make arrangements with the contracted decorator. Exhibit hall is carpeted. INSTALLATION/EXHIBIT HOURS/ DISMANTLING Morning and afternoon breaks will be served every day in the exhibit hall. The following is the tentative exhibit schedule: INSTALLATION Wednesday, July 10 OPEN HOURS Thursday, July 11 Friday, July 12 DISMANTLING Friday, July 12 8:00am 7:00pm 8:30am 5:30pm 8:30am 5:30pm 6:00-10:00pm ASSIGNMENT OF SPACE Date of receipt of application will guide the assignment of booth space. Only one company may be represented per space assignment. Subletting of exhibit space is prohibited. EXHIBITOR REPRESENTATIVES Exhibits must be staffed at all times during the exhibit hours. Each exhibiting company will receive a specific number of complimentary badges based on the exhibit level, provided representatives are registered in advance. Additional and replacement badges are available for purchase at $495 per badge for early registration or $595 per badge for registration after the early registration deadline as published on the CI2019 meeting. Only exhibitors with badges will be permitted to enter the exhibit area during hours of installation and dismantling. NO CHILDREN under 16 years of age will be allowed in the exhibit hall at any time. FAILURE TO OCCUPY SPACE Any space not occupied by 4:00 pm, Wednesday, July 10, 2019 will be forfeited by the exhibitor. This space may be reassigned or used by ACI Alliance without refund, unless arrangements for delayed occupancy have received prior approval from ACI Alliance Exhibit Management. In the event that the Exhibition is cancelled, postponed, or relocated on account of fire, strikes, government regulations, casualties, Acts of God, or other causes beyond the control of ACI Alliance, the exhibitor waives any and all damages and claim for damages and agrees that the sole liability of ACI Alliance shall be to return to each exhibitor the exhibitor s rental payment. JURISDICTIONS Contracted decorator will control access to loading docks in order to provide for a safe and efficient move-in and move-out. ADMISSION ACI Alliance will have sole control over all admission policies at all times. All persons www.ci2017sf.org

visiting the exhibit area as well as staffing the booths must register and wear the official meeting badge to enter. SPECIAL RESTRICTIONS z Giveaways are permitted only if approved in writing by ACI Alliance Exhibit Management prior to the meeting. Such items must be submitted to ACI Alliance Exhibit Management by Thursday, June 13, 2019. z Any activity in the exhibit aisles is strictly prohibited. z Prizes, drawings, and lotteries in conjunction with CI2019 need to be approved by ACI Alliance Exhibit Management by Thursday, June 13, 2019. z Exhibitors may use audio equipment if such equipment does not interfere with or become objectionable to adjacent exhibitors or ACI Alliance Exhibit Management. z Exhibitors activity must be confined to their booth space. All social activities must be approved by ACI Alliance Exhibit Management. z Fire hose cabinets and exits must be left accessible and in full view at all times. Decorations and displays must either be of nonflammable material or be treated by an approved fire prevention method. All display material must be flame proofed and is subject to inspection by the Hollywood Fire Department. No flammable fluids or substances may be used or shown in booths. z The Diplomat is completely non smoking. All smoking is confined to designated smoking areas outside the building. z Exhibits that, in the opinion of ACI Alliance Exhibit Management, are objectionable in design or operation will be prohibited. z Displays may not be dismantled nor any packing begun before 6:00pm on Friday, July 12, 2019. z Any food and beverage that is ordered by the exhibiting company for the booth must be approved by ACI Alliance Exhibit Management and ordered through the The Diplomat. LIABILITY/INSURANCE Each party involved in the exhibition (hotel, ACI Alliance, contracted decorator, and exhibitor) agrees to be responsible for any claims arising out of their own negligence or that of their employees or agents. Each party agrees to be responsible for their own property through insurance or selfinsurance and shall hold harmless each of the other parties for any and all damage caused by theft and those perils normally covered by a fire and extended coverage policy. SECURITY ACI Alliance Exhibit Management cannot guarantee nor assume any liability against loss or damage of any kind but will endeavor to protect exhibitors by locking the doors after convention hours and providing a security guard. SIGNS/ANNOUNCEMENTS No signs, posters, or brochures will be allowed anywhere in the hotel except within each exhibitor s booth. No signs or other articles are to be fastened to walls or electrical fixtures. The use of thumbtacks, tape, nails, screws, bolts, or any tool or material that could mark the floor or walls is prohibited. Written copy for all announcements, invitations, or fliers is to be approved, in writing, by ACI Alliance Exhibits Coordinator and should be submitted by Thursday, June 13, 2019. ENFORCEMENT OF RULES AND REGULATIONS The Rules and Regulations of Exhibition are intended to bring order and equity to all parties involved. In addition to being subject to restriction or termination of an exhibit, exhibitors who violate regulations could be prevented from exhibiting at future meetings of the ACI Alliance. ACI Alliance reserves the right to restrict or terminate an exhibit without notice if an exhibitor violates any of the Rules and Regulations contained herein. In the event of such restriction or eviction, ACI Alliance is not liable for any refunds, rentals, or other exhibit expense. CONTACT: EXHIBIT MANAGEMENT CI2019 c/o ACS Association Management Kate Hastings Exhibits Coordinator 633 N. St. Clair St. Chicago, IL 60611-3211 Direct: 312-202-5298 Fax: 312-267-1774 Email: khastings@facs.org www.ci2019miami.org

16th Symposium on Cochlear Implants in Children July 10-13, 2019 The Diplomat Beach Resort, Hollywood, FL Exhibit Space Application MIAMI COMPANY NAME CONTACT NAME ADDRESS (NO PO BOX ADDRESS PLEASE) CITY STATE ZIP/POSTAL CODE COUNTRY TELEPHONE FAX EMAIL We the undersigned hereby apply for exhibit space at the 16th Symposium on Cochlear Implants in Children, subject to the rules and regulations governing the exhibition as stated in the prospectus, which we accept as part of the agreement. EXHIBIT LEVEL Non-Profit: $1,000 Government: $1,500 Silver Publisher: $1,750 Silver Level: $2,500 Ruby Level: $5,000 Gold Level: $25,000 TERMS OF PAYMENT: 50% Deposit of total booth cost due upon receipt of application Full payment is due May 18, 2019. Failure to submit full payment by this date may result in cancellation of space and a penalty. All applications received after May 18, 2019, must be received with full payment. No applications will be processed without full payment. Cancellation of space after May 18, 2019, will result in a penalty of 100% of the total cost of the space assigned. PAYMENT TYPE: Checks: Make all checks payable to American Cochlear Implant Alliance. Checks must be drawn in U.S. dollars from a U.S. bank. Credit Card: American Cochlear Implant Alliance is authorized to charge the following credit card the fee of the exhibit level checked above. Card Type: American Express MasterCard VISA Return Application and Deposit to: Attn: CI2019 c/o ACS Association Management Kate Hastings Exhibits Coordinator 633 N. St. Clair St. Chicago, IL 60611-3211 Fax: 312-267-1774 Email: khastings@facs.org NAME ON CARD CARD NUMBER EXP DATE CSC CODE SIGNATURE As an authorized representative of the company named above, I have read and understand the rules and regulations outlined in the CI2019 Exhibitor Prospectus. I understand and agree to accept and abide by those rules and regulations. ACI ALLIANCE MANAGEMENT USE ONLY Booth Size Total Cost Deposit Balance Due SIGNATURE DATE

Marketing and Educational Grant Opportunities Get ahead of the competition and put your company s message front and center. ACI Alliance is offering several marketing opportunities to our exhibitors that allow prime exposure to this influential group of hearing professionals. MARKETING OPPORTUNITY Program Book Ad Half Page $2,000 Full Page $3,500 Reach all conference attendees by advertising in the CI2019 Program Book. Distributed at registration, this must-have guide to meetings and sessions offers exceptional on-site exposure for your marketing message. z Supporting company is responsible for all costs associated with production of the ad. z Ad sizes {{ Full page: 8 x 11 {{ Half page: 8 x 5 ½ z Supporting company must provide digital proof of artwork for approval prior to production. Banner Ad in App (3 available; limit 1 per supporting company) $2,000 Place your message in the palm of attendees hands by a banner ad in the CI2019 Symposium mobile app. z Supporting company is responsible for all costs associated with the production of banner ad. z Supporting company must provide digital proof of banner ad for approval prior to production. EDUCATIONAL GRANTS OPPORTUNITIES The following policies apply to all Educational Grant support: z Supporting company will be acknowledged as a supporter of the CI2019 Symposium z Supporting company must sign a Letter of Agreement (LOA) z Supporting company will receive recognition from the podium, through event signage and the CI2019 (please note that due to ACCME regulations, no company logos may be included as recognition for Educational Grants) The following marketing opportunities may be utilized with support through an educational grant: Professional Photographer $1,000 Help the ACI Alliance capture the moment with a professional photographer. CI2019 staff will make all arrangements. State Champion Meeting $3,000 Give ACI Alliance advocates and State Leaders the ability to learn in the best possible environment by providing support for light food and AV on Wednesday, July 10. z Recognition of the supporting company will be given verbally by ACI Alliance staff at the beginning and end of the training. z CI2019 staff will make arrangements for all AV, food and beverage. Board of Directors Meeting (Exclusive) $3,000 Allow ACI Alliance leadership to convene productively by helping to support the costs associated with the board meeting including AV, light food and beverages. z Recognition of the supporting company will be given verbally by ACI Alliance staff at the beginning and end of the training. z CI2019 staff will make arrangements for all AV, food and beverage. Attendee Networking Sessions (3 available) $1,000 Help CI2019 attendees network more effectively by providing support for light refreshments at the Attendee Networking Sessions on Friday evening. These events will directly benefit Psychologists, Educators, and other attendee groups with a unique interest in cochlear implants and role in providing care for pediatric patients and families. z Recognition of the supporting company will be given verbally by ACI Alliance staff at the beginning and end of the sessions. z CI 2019 staff will make arrangements for all food and beverage logistics. Wi-Fi (Exclusive) $7,500 Keep ACI Alliance attendees connected by providing support for Wi-Fi service throughout the meeting. z Recognition at the podium. z Recognition in login information cards passed out at registration. z Recognition in Program Book. z Supporting company is responsible for production and shipping of login information cards. Company must provide proof for approval prior to production. If you would like to support the ACI Alliance and the CI2019 Pediatric Symposium through Marketing or Educational Grant support, please contact Kate Hastings, ACI Alliance Exhibits Coordinator, at khastings@facs.org or 312-202-5298.

CI2019 Marketing & Educational Grant Application COMPANY NAME: CONTACT NAME (Will Receive All Correspondence): ADDRESS : CITY: STATE: ZIP/POSTAL CODE: COUNTRY: TELEPHONE: EMAIL: Item Fee Qty Total MARKETING OPPORTUNITIES Program Book Ad Full Page $3,500 Program Book Ad Half Page $2,000 Banner Ad in App $2,000 EDUCATIONAL GRANTS Professional Photographer $1,000 State Champion Meeting $3,000 Board of Directors Meeting $3,000 Attendee Networking Session $1,000 Wi-Fi $7,500 TOTAL DUE: $ TERMS OF PAYMENT Full Payment is due at time of application and is non-refundable. Return application and payment to: CI2019 ACI Alliance Exhibits Coordinator Kate Hastings c/o American College of Surgeons 633 N. Saint Clair Street Chicago, IL 60611-3211 khastings@facs.org 312-202-5298 PAYMENT METHODS: Checks: Make checks payable to: American Cochlear Implants Alliance. Checks must be drawn in U.S. dollars drawn on a U.S. bank. Credit Card: American Cochlear Implants Alliance is authorized to charge the following credit card: Amount to be charged: Check American Express MasterCard VISA NAME ON CARD CARD NUMBER EXP DATE CSC CODE SIGNATURE

CI2019 Pediatric: 16 th Symposium on Cochlear Implants in Children EXHIBITOR PROSPECTUS DATE & LOCATION: July 10-13, 2019 The Diplomat Beach Resort Hollywood, FL SPONSORS: American Cochlear Implant Alliance and University of Miami, Department of Otorlaryngology/Ear Institute www.ci2019miami.org