Product Display Showcase Submission

to be presented at

The American Academy of Orthotists and Prosthetists
31^st Annual Meeting and Scientific Symposium
March 16-19, 2005 • Orlando, FL

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.

Click here to view the Product Display Showcase Form
(PDF format)

Product Display Showcase

Deadline:

October 1, 2004
(for inclusion in Preliminary Program)

The sponsor will be charged a fee of $900 per showcase. 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.
The Academy cannot be held liable for any costs incurred by the sponsoring company for "no-show" attendees.
There will be no refund issued if a sponsoring company cancels once they have been accepted.
Deadline for receipt of abstracts is October 1, 2004 (for inclusion in the preliminary program)
The tentative showcase schedule is:
Thursday & Friday: 11:00 - 11:30am; 11:30am - Noon; Noon - 12:30pm; 12:30 - 1:00pm; 1:00 - 1:30pm; 3:30 - 4:00pm.
Use of equipment in a Product Display Showcase: 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 Disney's Coronado Springs Resort, (407) 939-3904 for the purpose of ascertaining applicable regulations and the existence of any restrictions (ie. ovens).
You must be exhibiting to host a Product Display Showcase.

Submit Your Product Display Showcase Online

Please Choose From Two Payment Methods:

Total Charge:	$900
Card Type:
Name on card:
Card number:
Exp. Date:	/

Pay online using Your Credit Card
        Enter your credit card information in the fields
        to the right in order to complete payment.
        By entering your credit card information here
        and clicking the submit button below you are
        authorizing the Academy to charge your
        credit card $900.

Mail a Check to the Academy
        If you choose to mail a check to the Academy, when you submit this form your
        Product Display Showcase and other information will automatically be emailed to the Academy and
        your submission will be reviewed when your payment is received. Please send
        your check for $900 for each submission (Please fill out separate forms for each Product
         Display Showcase) payable to the American Academy of Orthotists and Prosthetists to:
             Attention: Diane Ragusa
             The American Academy of Orthotists & Prosthetists
             526 King St., Suite 501
             Washington, DC 20005

Product Display Showcase Contact 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):

American Academy of Orthotists & Prosthetists

Professionals Advancing Care Through Knowledge

Product Display Showcase Submission

Click here to view the Product Display Showcase Form (PDF format)

Product Display Showcase

Submit Your Product Display Showcase Online

The American Academy of Orthotists & Prosthetists

Click here to view the Product Display Showcase Form
(PDF format)