2026 Exhibitor Registration & Agreement 12 NameThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formAdministrationCompany InformationCompany Name(Required)Billing Contact Name(Required) First Last Credentials (MD, DO, etc.) Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican 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 RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussian FederationRwandaSaint 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 TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Billing Contact Phone(Required)Billing Contact Email(Required) Sponsorship Levels & OptionsYour 2026 Package includes the following: Attendee list (with attendee permission) Acknowledgement in the lecture hall Breakfast, breaks, and lunch with attendees Diamond Sponsorship ($7,500.00) Prominent exhibit space at the WSNS Annual Meeting Up to three representatives (welcome to attend lectures; please remove nametag during sessions) Recognition in the meeting brochure, event posters, e-syllabus and WSNS Website homepage (company name and logo) One complimentary email to WSNS members promoting a webinar or educational program This level of sponsorship supports our conference program, including speaker honoraria. All topics, faculty, and other aspects of the meeting are controlled by the WSNS Planning Committee. Sponsors are not allowed to suggest or otherwise influence the content of the education. Gold Sponsorship ($5,000.00) Parking Sponsor or Lunch Sponsor Prominent exhibit space at the WSNS Annual Meeting Up to two representatives (welcome to attend lectures; please remove nametags during sessions) Recognition on meeting posters (e.g., “Parking Sponsored by [Company & Logo]”), e-syllabus, and WSNS website homepage (company name and logo) One complimentary email to WSNS members promoting a webinar or educational program Silver Sponsorship ($3,000.00) Morning Coffee Break or Afternoon Coffee Break Prominent exhibit space at the WSNS Annual Meeting Up to two representatives (welcome to attend lectures; please remove nametags during sessions) Recognition on break signage with company logo Bronze Sponsorship ($2,500.00) Exhibit booth at the WSNS Annual Meeting One representative (welcome to attend lectures; please remove nametag during sessions) Recognition on meeting signage and in the e-syllabus Display booth only ($2,000.00) Exhibit booth at the WSNS Annual Meeting One representative Raffle Participation To encourage attendee engagement, we will host a raffle during the meeting. This has been very popular in past years. If you would like to contribute a raffle item and present it to an attendee, please let us know.Sponsorship Level(Required) Diamond Sponsorship - $7,500.00 Gold Sponsorship - $5,000.00 Silver Sponsorship - $3,000.00 Bronze Sponsorship - $2,500.00 Display Booth Only - $2,000.00 Sponsorship Price: This field is hidden when viewing the formSponsorship Level Old(Required) Diamond Sponsorship - $7,500.00 Gold Sponsorship - $5,000.00 Silver Sponsorship - $3,000.00 Bronze Sponsorship - $2,500.00 Display Booth - $2,000.00 Number of Booth Representatives with Sponsorship LevelAdditional Exhibitor RepresentativesEach additional representative is $150.00. 1 - $150.00 2 - $300.00 Number of Reps OptionsElectrical Outlets Required? Yes No How Many?(Bring your own extension cords)Please enter a number less than or equal to 3.RepresentativesRepresentative 1 Name(Required) First Last Credentials (PharmD, MD, etc.) Representative 1 Job TitleRepresentative 1 Email(Required) Representative 2 Name(Required) First Last Credentials (PharmD, MD, etc.) Representative 2 Job TitleRepresentative 2 Email(Required) Representative 3 Name(Required) First Last Credentials (PharmD, MD, etc.) Representative 3 Job TitleRepresentative 3 Email(Required) Representative 4 Name(Required) First Last Credentials (PharmD, MD, etc.) Representative 4 Job TitleRepresentative 4 Email(Required) Representative 5 Name(Required) First Last Credentials (PharmD, MD, etc.) Representative 5 Job TitleRepresentative 5 Email(Required) Representative 6 Name(Required) First Last Credentials (PharmD, MD, etc.) Representative 6 Job TitleRepresentative 6 Email(Required) PaymentPayment Type(Required) Credit Card Invoice Me to Pay Later by Check Check Payment Made Yes Check Number(Required)Coupon Total Payment MethodCredit Card American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name INQUIRIES: Contact the WSNS Office at 206-956-3635 or send emails to admin@washingtonneurology.org. 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