2027 Exhibitor Registration Form

Exhibitor Registration Form

2027 LA-ACS Annual Meeting
Company Information
Company Name
How you want it listed in the program
Main Contact Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Commercial Promotion Fees
Choose One
Upload logo

Cancelof
Special Requests
Please check if you need:
List Companies you would prefer not to be located nearby
Please indicate the products or services you will display
Louisiana Chapter ACS 2027 Annual Meeting Agreement
By clicking below, you understand and agree to comply with all policies, rules, regulations, terms and conditions contained in the Exhibitor Prospectus; will abide by the payment policy; have read the rules and regulations; and for proper executive, agree to distribute them to those individuals involved with your booth.

If you have questions, contact Janna Pecquet at janna@laacs.org or 504-841-0145.
Exhibitor Registration

Additional badges needed? Email janna@laacs.org with their information.
Complimentary Badge #1

First NameLast Name
Email #1
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
On-Site Contact
Complimentary Badge #2

First NameLast Name
Email #2
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
On-Site Contact
Payment Method
Choose Your Payment Method
By Check

Please make check payable to the Louisiana Chapter American College of Surgeons.

Print and submit this form then your check to:

LA-ACS
Attn: Janna Pecquet
2213 Danny Park
Metairie, LA 70001

For more information, please contact Janna Pecquet
Email: janna@laacs.org.

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

LA-ACS Exhibitor Policies
I understand the LA-ACS exhibitor policies below:
Liability/Insurance: Neither LA-ACS nor the hosting facility assume responsibility for any loss, injury or damage occurring to an exhibitor or any exhibitor’s property. It is the exhibitor’s responsibility to have their person and materials insured against theft, damage, loss or injury.

Cancellations: Cancellations will be accepted with written notice on or before February 27, 2026. After February 27, 2026, a 50% cancellation fee will be assessed.
Should be Empty:

Exhibitor Registration Form

Company Information

Commercial Promotion Fees

Special Requests

Louisiana Chapter ACS 2027 Annual Meeting Agreement

Exhibitor Registration

Payment Method

*

LA-ACS Exhibitor Policies