Image

Sponsorship & Exhibits Payment Form

Sponsorship & Exhibits Payment Form

Sponsorship & Exhibits Payment Form

This form is for UPDATES. It is to be used if someone from your organization has already completed the form titled: August 4-6, 2023 - 5th Annual Breast Cancer Symposium in the pull-down menu.
If you are paying for more than one conference, please submit the payments separately.

Exhibiting Company Name:

Exhibiting Company Contact:

Exhibiting Company Coordinator

Booth Representative 1:

Booth Representative 2:

Booth Representative 3:

Booth Representative 4:

Sponsorship Selections

Exhibit Opportunities
S2L Exhibit Opportunities
Sponsorship Options

Upgrades

BCS SPONSORSHIP UPGRADES
Product Theater
Product Theater Online Live Stream Upgrade
A live online broadcast stream promoted to the national database of 2,000+ past participants
BCS Update Rep Registration
S2L Upgrades
A live online broadcast stream promoted to the national database of 2,000+ past participants
NOTE:  Only exhibitors are eligible to submit an application for a Product Theater pending approval.

Billing Information

Please Select *

NOTE: When the Credit Card form below is completed and submitted, the payment will be processed immediately through Stripe, the credit card processor.

Make Checks Payable to:

myMedEd, Inc.
518 S. IL Route 31 #194
McHenry, IL 60050
TAX ID: 82-4893155

(Name on card)
(Name on card)

$
Address - Billing *
Address - Billing
Credit Card - Billing *