Exhibitor Application Form September 26-28, 2024 HiddenDon't send payment link on record updates? Yes No HiddenApproval Date MM slash DD slash YYYY HiddenBooth Number HiddenBooth Size Unique IDHiddenPayment Received Yes No HiddenPO Received Yes No HiddenPayment Type Credit Card Check Purchase Order Other HiddenPayment Amount HiddenPayment Date MM slash DD slash YYYY HiddenPayment Method HiddenPayment Status HiddenTransaction ID HiddenTransaction Type HiddenCheck Number HiddenNotesHiddenExhibitor Sponsorship NotesExhibitor Account InformationPrimary Contact Name(Required) First Last Primary Contact Title(Required) Primary Contact Email(Required) Password(Required) Enter Password Confirm Password Strength indicator Company Name(Required)Exactly how it should appear in promotional materials Product or Service(Required) Website Billing & Company AddressBilling Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Company Address(Required) Same as Billing Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Sponsorship LevelDetailed information on Sponsorship Levels and Sponsorship Opportunities available in Exhibitor Prospectus. Download ProspectusSelect Sponsorship Level(Required)Select one (see details in Exhihibitor Prospectus): Rock Star – $100,000.00 Hall of Famer – $60,000.00 Inductee – $45,000.00 Grammy Award Winner – $30,000.00 World Tour Performer – $7,500.00 Recording Artist – Recording Artist level requires purchase of Sponsorship Opportunities and/or Add-on Options and does not include an Exhibit Area booth space (meeting badges purchased separately).Add-On OptionsAdditional 10'x10' Booth with 2 Additional Booth Representatives – $7,500.00 ea.01232 Additional Booths with 4 Additional Booth Representatives Price: 1 Additional Booth with 2 Additional Booth Representatives Price: 3 Additional Booths with 6 Additional Booth Representatives Price: Bioskill Lab (2-hr Training Session) – $15,000.00 ea.Based on Availability (see details and pricing in Exhibitor Prospectus)01231 Bioskill Lab Price: 2 Bioskill Labs Price: 3 Bioskill Labs Price: 15-minute Main Stage Technology Review$5,000.00 ea. 15-minute Main Stage Technology Review (1 item remaining) 15-minute Main Stage Technology Review Price: Sponsorship OpportunitiesBased on Availability (see details and pricing in Exhibitor Prospectus)AdvertisingBased on Availability (see details and pricing in Exhibitor Prospectus) Lanyards (1 item remaining) WiFi including Splash Page (1 item remaining) ROCKS Bags (1 item remaining) Hotel Key Cards (1 item remaining) ROCKS Program Advertisement: 1/4-page (50 items remaining) ROCKS Program Advertisement: 1/2-page (50 items remaining) ROCKS Program Advertisement: Full-page (50 items remaining) Company-Sponsored Email Blasts (50 items remaining) Lanyards Price: WiFi including Splash Page Price: Hotel Key Cards Price: ROCKS Bags Price: ROCKS Program Advertisement: 1/4-page Price: ROCKS Program Advertisement: 1/2-page Price: ROCKS Program Advertisement: Full-page Price: Company-Sponsored Email Blasts Price: Networking Lounge4 items available.Exclusive Opportunity for 1 sponsor (4 couches and 4 tables with chargers), subject to inventory availability Cost: $18,000 Multiple Sponsor Opportunity (1 couch and 1 table with charging capabilities per sponsor) Cost: $5,000 Price: Networking Lounge QuantityPlease enter a number from 0 to 4.Subtotal $0.00 Food and BeverageBased on Availability (see details and pricing in Exhibitor Prospectus) WELCOME RECEPTION – September 26, 2024 (1 item remaining) BREAKFAST 1 – September 27, 2024 (1 item remaining) BREAKFAST 2 – September 28, 2024 (1 item remaining) LUNCH – September 27, 2024 (1 item remaining) REFRESHMENT BREAK 1 – September 27, 2024 – Morning (1 item remaining) REFRESHMENT BREAK 2 – September 27, 2024 – Afternoon (1 item remaining) REFRESHMENT BREAK 3- September 28, 2024 – Morning (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Welcome Reception Hot/Cold Cups with Corporate Logo – Welcome Reception (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Breakfast 1 Hot/Cold Cups with Corporate Logo – Breakfast 1 (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Breakfast 2 Hot/Cold Cups with Corporate Logo – Breakfast 2 (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Lunch Hot/Cold Cups with Corporate Logo – Lunch (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Refreshment Break 1 Hot/Cold Cups with Corporate Logo – Refreshment Break 1 (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Refreshment Break 2 Hot/Cold Cups with Corporate Logo – Refreshment Break 2 (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Refreshment Break 3 Hot/Cold Cups with Corporate Logo – Refreshment Break 3 (1 item remaining) WELCOME RECEPTION – September 26, 2024 Price: Hot/Cold Cups with Corporate Logo – Welcome Reception Price: BREAKFAST 1 – September 27, 2024 Price: Hot/Cold Cups with Corporate Logo – Breakfast 1 Price: BREAKFAST 2 – September 28, 2024 Price: Hot/Cold Cups with Corporate Logo – Breakfast 2 Price: LUNCH – September 27, 2024 Price: Hot/Cold Cups with Corporate Logo – Lunch Price: REFRESHMENT BREAK 1 – September 27, 2024 – Morning Price: Hot/Cold Cups with Corporate Logo – Refreshment Break 1 Price: REFRESHMENT BREAK 2 – September 27, 2024 – Afternoon Price: Hot/Cold Cups with Corporate Logo – Refreshment Break 2 Price: REFRESHMENT BREAK 3 – September 28, 2024 – Morning Price: Hot/Cold Cups with Corporate Logo – Refreshment Break 3 Price: Satellite EventsBased on Availability (see details and pricing in Exhihibitor Prospectus) Company-Sponsored Satellite Event: Standard Meeting Room (4 items remaining) Company-Sponsored Satellite Event: Atrium Gathering Space (3 items remaining) Company-Sponsored Satellite Event: Standard Meeting Room Price: Company-Sponsored Satellite Event: Atrium Gathering Space Price: Other Sponsorship DescriptionRequest Sponsorship not listed for approval Other Sponsorship PriceTBD – Leave blank HiddenOther Sponsorship NotesHiddenApprove Other Yes No Lead RetrievalLead Retrieval is included with the sponsorship level chosen. Purchase Lead Retrieval?Based on Availability (see details and pricing in Exhibitor Prospectus) Lead Retrieval Lead Retrieval Price: Total SummarySponsorship Level $0.00 Additional Booth $0.00 Bioskill Lab (2-hr Training Session) $0.00 15-minute Main Stage Technology Review $0.00 Sponsorship Opportunities – Advertising $0.00 Sponsorship Opportunities – Networking Lounge $0.00 Sponsorship Opportunities – Food and Beverage $0.00 Sponsorship Opportunities – Satellite Events $0.00 Other Sponsorship $0.00 Lead Retrieval $0.00 Total Due Additional Information/Special RequestsLogoUpload Logo(Required)Upload your company logoAccepted file types: jpg, png, Max. file size: 1 GB.Website direct link to productFor advertising on CCI website Upload Product ImagesFor advertising on the CCI website.Accepted file types: jpg, png, Max. file size: 1 GB.Booth RepresentativesNames must be entered by September 15, 2024. You may enter or update names by logging into your exhibitor account.Booth Representative 1 (Onsite Contact Person)FirstLastEmailBooth Representative 2FirstLastEmailBooth Representative 3FirstLastEmailBooth Representative 4FirstLastEmailBooth Representative 5FirstLastEmailAdditional Booth Representative 1FirstLastEmailAdditional Booth Representative 2FirstLastEmailAdditional Booth Representative 3FirstLastEmailAdditional Booth Representative 4FirstLastEmailAdditional Booth Representative 5FirstLastEmailAdditional Booth Representative 6FirstLastEmailIf additional corporate badges are needed, please purchase/register through REGISTRATION.Application and AgreementPlease read the Exhibitor Prospectus & Sponsorship Opportunities document in its entirety before affirming and signing the below statement.(Required)The Exhibitor Prospectus & Sponsorship Opportunities document for the Robotic Orthopaedic Concepts & Knowledge Symposium (“ROCKS”) being held at the Huntington Convention Center of Cleveland on the dates of September 26, 2024 through September 28, 2024, serves as an Application and Agreement that shall become effective when it has been submitted by the sponsoring company and accepted by Current Concepts Institute, Inc. The individual signing below represents and warrants that he/she is duly authorized to execute this binding Application and Agreement on behalf of the sponsoring company and agrees to be bound by its content. I affirm that I am a duly authorized individual to execute this binding Application and Agreement on behalf of the sponsoring company listed on the ROCKS Exhibitor Application.Signature(Required)By the signature below, the sponsoring company submits this Application and Agreement and agrees to be bound to its terms.
