2026 Urology EXHIBITOR REGISTRATION FORM

We're excited to meet at the Embassy Suites in Jonesboro, AR! The AUS Annual Meeting will take place on March 12-14, 2026.

Gold ($5,000): Exhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Web banner on AUS website homepage - Special event sponsorship and recognition

(BREAKFAST WITH EXHIBITORS FRIDAY OR LUNCH WITH EXHIBITORS FRIDAY)

Silver ($4,000): Exhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Special event sponsorship and recognition

(BREAKFAST WITH EXHIBITORS FRIDAY OR LUNCH WITH EXHIBITORS FRIDAY)

Bronze ($3,000): Exhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Special event sponsorship and recognition

(AFTERNOON BREAK FRIDAY OR CONTINENTAL BREAKFAST SATURDAY)

Tabletop ($1,500): Exhibit table in standard location.

Company Name

Company Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Coordinator's Name

First NameLast Name

Coordinator Email Address

Coordinator's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Representative's Name

First NameLast Name

Representative's Email Address

example@example.com

Representative's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Will you have additional representatives attending?

How many additional representatives will be attending?

Additional Representative Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Additional Representative Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Additional Representative Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Additional Representative Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Agreement to Conditions: Exhibitor agrees to abide by the following: (1) No competing function will be allowed during this meeting; (2) the sole control of the exhibit center rests with ADS; and (3) ADS will not be responsible for any injury to any exhibitor or loss of property by fire, theft, damage, or other causes. Refund Policy: To cancel exhibit space, a written notification to ADS office must be received no later than March 21, 2026. No refunds will be issued after that date.

Paying by check, or by card?

Select Contributor Level

Please make all checks payable to: Arkansas Urologic Society

PO Box 55088

Little Rock, AR 72215

Total

My Products

Gold

Exhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Web banner on AUS website homepage - Special event sponsorship and recognition (choice of meal)

$5,000.00 Quantity

Silver

Exhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Special event sponsorship and recognition (choice of meal)

$4,000.00 Quantity

Bronze

Exhibit table in a prime location - Web banner on attendee registration page - Digital placement on monitors throughout conference - Verbal recognition throughout conference - Special event sponsorship and recognition

$3,000.00 Quantity

Tabletop Contributor

Exhibit table in a standard location.

$1,500.00 Quantity

Total

Payment Methods

Choose from one of the PayPal options to make your payment.

EXHIBITOR REGISTRATION FORM

Contributor Levels

My Products

Payment Methods