2026 FPS Support & Exhibition Meeting Registration Form

2026 FPS Supporter & Exhibitor Annual Meeting Registration Form

Please fill out the form carefully and choose your category to register for the April 24-26, 2026 Florida Pain Society Annual Meeting at the Renaissance Orlando Hotel at Sea World, Orlando, Florida. Ensure all required fields are completed accurately.
Full Name*

First NameLast Name and Title (i.e. MD, DO, RN)
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Company Name and Address*

Company Name

Street Address
CityState / ProvincePostal / Zip Code
Company Website
List any competitors that you do not wish to be placed next to in the Exhibition Hall*

My Products

Exhibitor 6 foot Tabletop DisplayIncludes 6 foot tabletop display, 2 representative badges, and participation in Friday evening Networking Reception

$4,000.00 Quantity

Gold Corporate Membership Includes timeslot for industry symposia (company pays food, beverage, a/v, and speaker), 6 foot tabletop display, 4 representative badges, participation in Friday evening networking reception. Additional benefits as listed in the Prospectus.

$10,000.00 Quantity

Silver Corporate MembershipIncludes 6 foot tabletop display, 3 representative badges, participation in Friday evening networking reception. Choice of additional benefit as listed in the Prospectus including a hands-on workshop presence.

$7,500.00 Quantity

Corporate Membership Includes 6 foot tabletop display, 3 representative badges, company flyer in conference bags, participation in Friday evening networking reception.

$5,000.00 Quantity

POWER UP to Founding MembershipYou can be designated a founding member if you with an additional membership fee of $250.

$250.00 Quantity

Additional Industry Representative Badge

$350.00 Quantity

Promotional Material Company provided product flyer in the Annual Meeting conference bag Company-provided Product Flyer in the annual Meeting conference materials

$500.00 Quantity

Social Media Announcement/PostAlert our attendees that you are exhibiting

$500.00 Quantity

Enter coupon

Total

$0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Agree to Support and Exhibition Terms and Conditions*

On behalf of company, we agree to abide by the exhibition and support terms and conditions and meeting guidelines and policies outlined in the Support and Exhibitor Prospectus. For a pdf copy of the Prospectus, please scroll to below signature.
Signature

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2026 FPS Supporter & Exhibitor Annual Meeting Registration Form