Product Display Showcase Submission

to be presented at

The American Academy of Orthotists and Prosthetists
30th Annual Meeting and Scientific Symposium
February 25-28, 2004 • New Orleans, LA

The Product Display Showcase registration form is available below for online submission or as an Adobe PDF file, which will allow you to view and print it in the proper format. If you do not already have the Adobe Acrobat plugin, you can download it free of charge from the Adobe web site.

Product Display Showcase

Deadline:

September 1, 2003
(for inclusion in Preliminary Program)

  1. The sponsor will be charged a fee of $850.00 per showcase. This fee will cover the cost of the theatre seating and help defray the cost of coffee breaks for attendees. Any audiovisual or other needs must be arranged for and paid for by the sponsor. If such arrangements are necessary, you will be advised of the "official" audiovisual contact.

  2. The Academy cannot be held liable for any costs incurred by the sponsoring company for "no-show" attendees.

  3. There will be no refund issued if a sponsoring company cancels once they have been accepted.

  4. Deadline for receipt of abstracts is September 1, 2003 (for inclusion in preliminary program)

  5. The tentative showcase schedule is:
    Thursday: 1:00 - 1:30pm; 2:00-2:30pm; 3:00-3:30pm; 4:00-4:30pm.
    Friday: 1:00 - 1:30pm; 2:00-2:30pm; 3:00-3:30pm; 4:00-4:30pm.

  6. Use of equipment in a product display: It shall be the responsibility of the host company to ensure that the company is in compliance with existing fire and safety regulations. It is advised that each company hosting a showcase contact the Convention Services Manager at the Hyatt Regency New Orleans, (504) 561-1234 for the purpose of ascertaining applicable regulations and the existence of any restrictions (ie. ovens).

Submit Your Product Display Showcase Online

Please Choose From Two Payment Methods:

Pay online using Visa, Mastercard, or American Express
         If you choose to pay by Credit Card, when you submit this form you
        will automatically be taken to a secure page where you can submit
        your Credit Card information.

Mail a Check to the Academy
         If you choose to mail a check to the Academy, when you submit this form your
        technical workshop and other information will automatically be emailed to the Academy and
        they will review your submission when they receive your payment. Please send
        your check for $850 for each workshop (Please fill out seperate forms for each Showcase)
        payable to the American Academy of Orthotists and Prosthetists to:
             Attention: Diane Ragusa
             The American Academy of Orthotists & Prosthetists
             Dept 34937
             Alexandria, Virginia 22334-0937

Product Display Showcase Information

Company Name:

Address:

City, State, Zip:

Country:

Work Phone:

Fax:

Email:

Contact:

Product Display Showcase Information

Please indicate the following showcase information for promotional materials and final program.

Title of Showcase.

Description (3 sentences):

Speaker Name, and Company Affiliation (if different than sponsoring company):