EXHIBITOR FORM

Please use the form below to register as an exhibitor for the Southern Sleep Society 2021 Virtual Meeting.

Our registration system uses PayPal for payment. Note that you can make a payment using a credit card without creating a PayPal account, if you choose to do so. Where it asks you to login to your PayPal account, just click below where it says “pay with a debit or credit card”.

For questions related to registration, please contact:
Marietta Bellamy Bibbs
mariettabibbs@southernsleepsociety.org

If you prefer to pay by check, please use our printable registration form.

Exhibitor Info

Company Name*
Contact Person*
Address*
City*
State*
Zip Code*
Phone*
Fax
Email Address*
Will your Virtual
Booth be manned?*

Names and email addresses of representatives attending the meeting:

Registration Options

There is a $200 non-refundable fee if registration is cancelled before April 10, 2021. No refunds will be made for cancellations after April 10, 2021.

Registration Type* Before
4/9/2021
After
4/9/2021
Line Amount
$500.00 $700.00
$75.00 $75.00
$0.00 $0.00
$4000.00 $4000.00
$3000.00 $3000.00
$2000.00 $2000.00
$1000.00 $1000.00
Processing Fee
Total

*Contact Meeting Planner directly at mariettabibbs@southernsleepsociety.org.