Vendor Registration

Use form below to sponsor this year's symposium. Once form is submitted, we will send you an invoice for payment and collect your attendee information.

Already signed up and need to give us attendee names?
Use this form.

Are your attendees wanting to bring a personal guest or child?
Use this form.

Business Name *

Business Address *

City *

State *

Country

Postal Code *

Business Website *

First Name *

Last Name *

Phone *

Email *

Logo for use on website and sponsor materials

Company Description (100 words or less)

Please select your sponsorship level. Click here to view the available sponsorship packages and their benefits before completing your registration.

Sponsorship Level *

Gold Sponsorship- $12,900 (includes 5 attendees)

Silver Sponsorship- $7,900 (includes 3 attendees)

Bronze Sponsorship- $3,900 (includes 1 attendee)

Number of additional attendees ($200)

(0-4)

*Attendee Names: Once your registration is submitted, you will receive an email with a link to enter your attendee names. You can do this right away, or at any time before the event. Additional attendees are $200 each.

I agree to receive communications from Carolina Perfusion Symposium relating to this form submission

Terms and Conditions