OAS 2021 Sponsor & Exhibitor Application

Join us September 10-12, 2021 at the Gwen Hotel in Chicago for the 35th Annual OAS Scientific Conference. Please complete the application below. If you have questions or need other assistance, please contact Lori Conaway, OAS Executive Director, at lconaway@eyeanesthesia.org, or call (414) 359-1628.

Company / Organization Information

Company / Organization Name

Company / Organization Address

City , State & Zip Code

Company / Organization Website

Primary Contact Details

Please enter contact information for the main point of contact from your company.

Contact First Name

Contact Last Name

Contact Phone

Contact Email

Booth Staff

Two complimentary registrations are included in the exhibit booth package. Please enter the contact information for those individuals below. Additional exhibitor registrations are available for $100/individual.

Exhibit Staff 1 First and Last Name

Exhibit Staff 1 Email

Exhibit Staff 2 First and Last Name

Exhibit Staff 2 Email

Contact Info - Additional Registrants

If you have additional people to register as booth staff beyond the 2 complimentary badges provided, please enter contact details (names and emails) of those individuals below. Please note a fee of $100 applies to each individual registered.

Promotional Information

Please enter a ~50 word description of your company's products or services to include in conference materials.

Promotional Information

Logo Upload

Please upload a high resolution logo of your company for use in conference promotions and exhibitor signage.

Drag and drop files here or

Please select your sponsorship and/or exhibitor package

Descriptions of the various levels are available in the sponsor and exhibitor prospectus on the OAS website. Please indicate all selections if you are interested in an add-on opportunity.

Select

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