American Spinal Injury Association (ASIA)

ASIA 2017 Annual Scientific Meeting

Hyatt Regency Albuquerque, Albuquerque NM
April 26-29, 2017


We wish to participate at the following level:

Click on levels to expand/close benefits

  Fees (USD)
Through February 01, 2017
Fees (USD)
After February 01, 2017
$2,500 $3,000
$1,000 $1,500
$1,000 $1,500
$3,000 $3,500
$3,000 $3,500
$3,500 $4,000
Exhibitor - Annual Scientific Meeting and Full Page, Outside Back Cover Ad in Meeting Program  ** Sold Out ** $4,000 $4,500
$4,500 $5,000

     Enter number of badges: @
$200/person $200/person

     # of Registrations: @
$100/person $100/person

Sponsorship and Marketing Opportunities:

To take advantage of these opportunities, check all that apply.

  Fees (USD)
Through February 01, 2017
Fees (USD)
After February 01, 2017
$10,000 $10,000
$250 $250
Delegate Bag Sponsor  ** Sold Out ** $500 $500
$500 $500
$750 $750
$1,500 $1,500
$2,000 $2,000
$3,500 $3,500
$5,000 $5,000
Lunch Symposium - Friday, April 28, 2017  ** Sold Out ** $25,000 $25,000
$10,000 $10,000

Payment is due in full prior to exhibit set-up at the ASIA conference.

Written cancellations received in the ASIA office by February 1, 2017 will receive a 50% refund.  There are no refunds for cancellations received after February 1, 2017.

The exhibitor hereby assumes entire responsibility and hereby agrees to protect, defend, indemnify and save the American Spinal Injury Association and Hyatt Regency Albuquerque and each of their respective parents, subsidiaries, affiliates, employees, officers, directors, and agents harmless against all claims, losses or damages to persons or property, governmental charges or fines and attorney’s fees arising out of or caused by its installation, removal, maintenance, occupancy or use of the exhibition premises or a part thereof, excluding any such liability caused by the sole gross negligence of the hotel and its employees and agents.

The Exhibitor acknowledges that neither the American Spinal Injury Association nor the Hyatt Regency Albuquerque, its owners, its operator, maintain insurance covering exhibitor’s property and that it is the sole responsibility of the exhibitor to obtain business interruption and property damage insurance insuring any losses by exhibitor. Neither the American Spinal Injury Association, its contractors, nor the Hyatt Regency Albuquerque assumes the responsibility for damage or loss of any kind.

Payment Method:

Make checks payable to "ASIA". Payment is due within 30 days or before exhibit date, whichever comes first. An invoice will be generated and emailed to you.
Name on card:
Card number:
Expiration date: /
Security Code:
  The security code is the 4 digit number on the front of Amex cards and the 3 digit number on the back of MasterCard, Visa, and Discover cards.
Card Billing Address:
Card Billing Zip Code:

By signing below, you agree to be bound by the terms of this agreement.

Exhibitor Authorized Signature (Type name above) Date