2021 Marketing and Visibility Form Company Name*Contact Name* First Last Contact Email* Contact Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Visibility PackagesVisibility PackagesDiamond Visibility Package- $75,000Platinum Visibility Package- $60,000Gold Visibility Package- $45,000Silver Visibility Package- $30,000Bronze Visibility Package- $15,000DIAMOND VISIBILITY PACKAGE- $75,000 One satellite symposium on day of your choice (on a space availability basis) One 10 x 20 exhibit space One Industry suite in exhibit hall One banner ad on meeting app – one 4 hour slot Center plasma screen in lobby seating area Acknowledged as sponsor of Opening Reception Acknowledged as a Diamond Visibility Sponsor in all program materials, on the meeting app, on-site with signage and verbally from the podium PLATINUM VISIBILITY PACKAGE- $60,000 One satellite symposium on day of your choice (on a space availability basis) One banner ad on meeting app – one 4 hour slot One 10 x 20 exhibit space Left or right plasma screen in lobby seating area Acknowledged as a Platinum Visibility Sponsor in all program materials, on the meeting app, on-site with signage and verbally from the podium GOLD VISIBILITY PACKAGR- $45,000 One satellite symposium on day of your choice (on a space availability basis) One 10 x 10 exhibit space One banner ad daily for run of show Acknowledged as a Gold Visibility Sponsor in all program materials, on the meeting app, on-site with signage and verbally from the podium SILVER VISIBILITY PACKAGE- $30,000 One 10 x 10 exhibit space One banner ad daily for run of show Acknowledged as a Silver Visibility Sponsor in all program materials, on the meeting app, on-site with signage and verbally from the podium Bronze Visibility Package- $15,000 One banner ad daily for run of show Acknowledged as a Bronze Visibility Sponsor in all program materials, on the meeting app, on-site with signage and verbally from the podium A' La Carte Visibility OpportunitiesHotel Room Options:Price shown does not include production and distribution costs. Hotel Door Drop Key Cards A La Carte Hotel Room OptionsBanner, Clings and WrapsDoes not include production, installation and dismantle costs.A La Carte Banners, Clings, and Wraps OptionsBanner, Clings and WrapsPrice is indicated as +$ followed by the fee in US dollars, for example +$5,000. Entrance Enclosure Window Clings 12 Skybridge Window Clings 6 Skybridge Window Clings 3 Skybridge Window Clings Lobby Staircase Clings Big Bar Lobby Clings 11 Big Bar TV Table Clings 6 Pillar Wraps 3 Pillar Wraps 2 bank-Escalator Clings 1 bank-Escalator Clings 6 Elevator Doors 3 Screens in hotel lobby seating area 1 Event Screen near hotel entrance (for run of show) Meeting App Banner AdsBanner advertising areas are available on the Home screen of the meeting app. Pre Meeting App Banner Ads June 1- July 21, 2021 Banners will run throughout the month- 2 opportunities, $1,000 each. Artwork is due by May 15 for June adsMeeting App Banner Ads - June 1 - July 21 Price: $1,000.00 Quantity: Meeting Banner Ads July 22- July 25, 2021 Banner will run during 4-hour increments, or 12 hours overnight, for the duration of the AHNS meeting. 2 banners per time slot. Artwork is due by June 15 for July 18 – July 22 Ads will run the duration of the meeting. Banner ad specs: JPEG, 768w.x 160hTime Options & Pricing 6:00 am – 10:00 am (per day) 10:00 am – 2:00 pm (per day) 2:00 pm – 6:00 pm (per day) 6:00 pm – 6:00 am (per day) PLEASE NOTE: Your first choice of ad time may not be available; in that case, you may make a second choice. Restrictions may apply as to the number of ads a single company may run on a single day. The final schedule of ads will be determined by Show Management. Meeting App Banner Ads - July 22-25TOTAL $0.00 NOTE: All payments must be made by check. Please make checks out to the AHNS and mail to the address below: American Head and Neck Society 11300 W. Olympic Blvd, Suite 600 Los Angeles, CA 90064CommentsThis field is for validation purposes and should be left unchanged.