45th Annual Regional Anesthesiology & Acute Pain Medicine 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Exhibiting Company Name and Booth Number in the designated fields.
3. Fill out your Company Address, including City, State, Zip Code, and Country.
4. For additional booth personnel, list each representative's name, title, and email address. Ensure that individual email addresses are provided for each badge.
5. If you need more badges beyond the complimentary ones included with your booth size, indicate the number of additional badges required at $195 each.
6. Complete the credit card details section accurately, including card type, number, expiration date, security code, and billing address as per credit card records.
7. Sign and date the form at the bottom to authorize payment before submitting it via email to heidi.perret@ajj.com by April 15, 2020.

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