Exhibitor Payment Form August 14 – 16, 2025 Complete the Payment Details. Exhibitor details on the form are for reference only. Any changes to sponsorship level, sponsorship opportunities, and/or lead retreival must be requested by email. This field is hidden when viewing the formIDExhibitor Account InformationPrimary Contact Name First Last Primary Contact Email Company NameExactly how it should appear in promotional materials PaymentPayment Type(Required) Credit Card Check Purchase Order (PO) Credit CardCard Details Cardholder Name Check must be received Net 7 days to secure booth space. Make check payable to Currrent Concepts Institute and mail to: Current Concepts Institute 2310 Superior Ave. East Suite 100 Cleveland, OH 441142.9% credit card surcharge will be added to credit card transactions.Upload Purchase Order (PO)(Required)PO (pdf) must be uploaded to secure booth space and/or sponsorship opportunitiesAccepted file types: pdf, Max. file size: 2 MB.Billing Address 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 SaharaYemenZambiaZimbabweÃ…land Islands Select Sponsorship LevelSelect one (see details in Exhihibitor Prospectus): Rock Star – $100,000.00 Hall of Famer – $45,000.00 Inductee – $30,000.00 Grammy Award Winner – $7,500.00 World Tour Performer – $0.00 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)012341 Bioskill Lab Price: 2 Bioskill Labs Price: 3 Bioskill Labs Price: 4 Bioskill Labs Price: 15-minute Main Stage Technology Review$6,000.00 ea. 15-minute Main Stage Technology Review 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 WiFi including Splash Page ROCKS Bags Hotel Key Cards ROCKS Program Advertisement: 1/4-page ROCKS Program Advertisement: 1/2-page ROCKS Program Advertisement: Full-page Company-Sponsored Email Blasts 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 LoungeExclusive 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) RECEPTION BREAKFAST 1 BREAKFAST 2 LUNCH REFRESHMENT BREAK 1 – Morning REFRESHMENT BREAK 2 – Afternoon REFRESHMENT BREAK 3 – Morning Add Hot/Cold Cups with Corporate Logo – Reception Hot/Cold Cups with Corporate Logo – Reception Add Hot/Cold Cups with Corporate Logo – Breakfast 1 Hot/Cold Cups with Corporate Logo – Breakfast 1 Add Hot/Cold Cups with Corporate Logo – Breakfast 2 Hot/Cold Cups with Corporate Logo – Breakfast 2 Add Hot/Cold Cups with Corporate Logo – Lunch Hot/Cold Cups with Corporate Logo – Lunch Add Hot/Cold Cups with Corporate Logo – Refreshment Break 1 Hot/Cold Cups with Corporate Logo – Refreshment Break 1 Add Hot/Cold Cups with Corporate Logo – Refreshment Break 2 Hot/Cold Cups with Corporate Logo – Refreshment Break 2 Add Hot/Cold Cups with Corporate Logo – Refreshment Break 3 Hot/Cold Cups with Corporate Logo – Refreshment Break 3 RECEPTION Price: Hot/Cold Cups with Corporate Logo – Reception Price: BREAKFAST 1 Price: Hot/Cold Cups with Corporate Logo – Breakfast 1 Price: BREAKFAST 2 Price: Hot/Cold Cups with Corporate Logo – Breakfast 2 Price: LUNCH Price: Hot/Cold Cups with Corporate Logo – Lunch Price: REFRESHMENT BREAK 1 – Morning Price: Hot/Cold Cups with Corporate Logo – Refreshment Break 1 Price: REFRESHMENT BREAK 2 – Afternoon Price: Hot/Cold Cups with Corporate Logo – Refreshment Break 2 Price: REFRESHMENT BREAK 3 – 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 Company-Sponsored Satellite Event: Atrium Gathering Space Company-Sponsored Satellite Event: Standard Meeting Room Price: Company-Sponsored Satellite Event: Atrium Gathering Space Price: Other Sponsorship DescriptionRequest Sponsorship not listed for approvalOther Sponsorship PriceTBD This field is hidden when viewing the formOther Sponsorship NotesThis field is hidden when viewing the formApprove Other Yes No Lead RetrievalPurchase Lead Retrieval?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 Subtotal $0.00 Credit Card Surcharge $0.00 Total Due
