The Pediatric Cardiac Intensive Care Society (PCICS)

PCICS 13th Annual International Meeting - 2017

Fairmont Washington, D.C., Georgetown,
December 6-8, 2017


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

  Fees (USD)
Full page, 4-color advertisement outside back cover of the program  ** Sold Out ** $600
Full page, 4-color advertisement inside page of the program  ** Sold Out ** $500
One Half Page Ad in Meeting Program (inside page)  ** Sold Out ** $250
Hotel Key Card Sponsor  ** Sold Out ** $500

Payment is due in full by November 1, 2017.

Written cancellations received in the PCICS office by October 6, 2017 will receive a 50% refund.  There are no refunds for cancellations received after October 6, 2017.

The exhibitor hereby assumes entire responsibility and hereby agrees to protect, defend, indemnify and save The Pediatric Cardiac Intensive Care Society (PCICS) and Children's National Health System 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 The PCICS and Children's National Health System, their owners and operators do not 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 PCICS, its contractors, nor Children's National Health System assumes the responsibility for damage or loss of any kind.

Payment Method:

Make checks payable to "PCICS". Payment is due by November 9, 2015. 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