Sponsor-Advertiser-Exhibitor Application

Be sure to read the sponsorship and advertising information packet. Sponsorship and exhibitor requests received after March 15 may be accepted; however, due to printing deadlines, acknowledgment in the Annual Meeting Program cannot be guaranteed. We appreciate donations of gifts for door prizes. Thank you for your support.

Exhibitor shall be fully responsible for paying for any and all damages to property owned by the hosting hotel, its owners, or managers which result from any act or omission of Exhibitor. Exhibitor agrees to defend, indemnify and hold harmless the hosting hotel and the OSRT, their owners, managers, officers or directors, agents, employees, subsidiaries, and affiliates, from any damages or charges resulting from Exhibitor's use of the property. Exhibitor's liability shall include all losses, costs, damages, or expenses arising from, out of, or by reason of any accident or bodily injury or other occurrences to any person or persons, including the Exhibitor, its agents, employees, and business invitees which arise from or out of the Exhibitor's occupancy and use of the exhibition premises, the Hotel or any part thereof.

Submission of this application serves as your agreement with all the terms and conditions.

Thank you for your support.

*All exhibit spaces have been reserved for the 2023 Annual Meeting. There are other sponsor opportunities. Please get in touch with osrt@osrt.org with any questions.

Please check mark all options for which you wish to support

Sponsor & Advertising Options *

Beverage Break - $ 500.00

Continental Breakfast - $ 800.00

Board of Directors' Luncheon - $ 800.00

Business Session Luncheon - $ 1,000.00

President's Reception - $ 500.00

Sponsor Provided Insert (Any Size) - $ 200.00

Add total fees in the space provided below.

Total Amount

Email Address *

Sponsor Name and Address

Donations for door prizes

We appreciate items or gift certificates to offer as door prizes.

In the space below, enter company name or if this is a student table request, fill-in program name.

Company Name *

First Name *

Last Name *

Street Address *

City *

Postal Code *

State *

Phone and Extension *

Fax

Exhibitor Name *

Exhibitor Email *

Check for electrical outlet (not guaranteed) *Exhibitor space does not include the provision of electricity. An additional charge may be included dependent on individual hotel policy.

Electric Supply *

Yes No

Credit Card

If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page.

Checkout securely. Pay without sharing your financial information.

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *