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1 To assist in your marketing efforts, the American Society of Anesthesiologists is making the ANESTHESIOLOGY 2013 annual Pre-registration mailing list available to Exhibitors for direct mail beginning September 6, Invite attendees to your booth and promote a new product or service. The pre-registration list contains contact information captured during the registration process for those attendees opting in to receive mail correspondence. All mailing lists sent from ASA include mailing information only and do not include , phone or fax information. The one-time direct mailing list will be provided directly to you via in an Excel format to process and mail. All expenses related to mailing including setup and postage will be your responsibility. ASA reserves the right to refuse any order, at any time for any purpose. All lists are seeded and their usage will be monitored to detect unauthorized or illegal use. Second and multiple usage rates are the same as the initial rates; no discounts will apply. a PDF sample of the exact mail piece as it will appear when distributing to the list to Rose Berg at r.berg@asahq.org for approval. You will be contacted if there is any incomplete information that may delay your order. Once ASA approval is obtained and payment received, the list will be released. Important reminder: The use or display in any way or medium of the American Society of Anesthesiologists name, logo, acronym, marks or copyrighted materials is not permitted, and no reference, implication or use of such ASA name, logo acronym, marks or copyrighted materials may be made to claim or imply ASA endorsement, affiliation or approval of any product, service or program without the express written consent of ASA. To expedite the approval process, please refer to enclosed the Language Usage Guidelines for acceptable language to be used on any promotional or booth material pertaining to this Send Request Form with PDF Sample to: Rose Berg Exhibits Sales Manager American Society of Anesthesiologists Phone: r.berg@asahq.org

2 PRE-REGISTRATION MAILING LIST REQUEST & SALES AGREEMENT EXHIBITING COMPANY NAME: Contact Name: Booth No: Exhibiting Company Address: City: ASA office use only Date Received: Received Prototype: (attach copy) ASA Approved by: Date: Confirmation of approval sent to exhibitor: Attendee list produced: Qty: State: Zip: Phone: Desired Selection: Cost is based on Quantity Xs $.50 per 1,000 names (minimum) + $200 set up fee. *Note: IL & IN are subject to state taxes. 1,000 registrant names - $700 (minimum order) Specify qty. enter the number of registrants you want to receive (for example: 1,500 names, 2,500, 3,000, etc., or FULL LIST) Payment amount will be based on the actual number of registrants pulled by September 6, United States only Specific State(s): International Registrants Other (please specify) Method of Payment (all fees in U.S. Dollars drawn on a U.S. Bank) Visa MasterCard American Express Credit Card Number: Expiration Date: Authorization Code: Payment Amount: $ (Based on the number of names pulled Sept.6). Cardholder Name: (Please print) Signature: Sales Agreement The Exhibitor listed on this request form, agree the list purchased from ASA is for a one-time use only and will not be duplicated in any fashion. If you are interested in sending additional mailings to annual attendees, you must complete and submit a separate form for each mailing list requested. Names and addresses are current as of attendee registration. The American Society of Anesthesiologists is not responsible for returned or undeliverable mail. ASA is not responsible for any expenses related to the printing or mailing of a piece that has not been approved before printing or mailing. Use of this list for anything other than the approved piece will result in loss of all priority points accumulated to date. As an authorized representative of the company named above, I have read and understand the sales agreement and I understand and agree to accept and comply with the policies above. Signature: Date Please SAVE the completed forms to your desktop and send by to Rose Berg at r.berg@asahq.org

3 The ANESTHESIOLOGY 2013 Annual Meeting Language Usage Guidelines All promotional materials (including announcements, signage, invitations, s, websites, advertisements, posters and flyers) must be approved by ASA prior to printing or electronic use. Please use submission deadlines found on insertion orders, event applications, and exhibit material. If unsure, please contact: Advertising: Alexander Kahl Corporate Support/Non-CME Programs: Julie O Heir (j.oheir@asahq.org) Exhibits Booth/Product Theater: Rose Berg (r.berg@asahq.org) Allow a minimum of five business days for approval. Please refer to the examples below for acceptable language to be used on any promotional or booth material pertaining to the. ACCEPTABLE UNACCEPTABLE ANESTHESIOLOGY 2013 (used as ASA 2013 title) ASA13 ASA Annual Meeting The 2013 ASA Annual Meeting The (used in content/text) (Please note: The word the is part of the name of the and should always be used when referring to the. It should be capitalized only when it begins a sentence and lower case in midsentence.) For Industry Non-CME events: ASA Corporate Non-CME Educational Update Program The Essentials of Anesthesiology, an ASA Corporate Non-CME Educational Update, presented by Company Name, an ASA Industry/Annual Meeting Supporter ASA Show ASA Annual Meeting 2013 ASA Annual Meeting ANESTHESIOLOGY 2013 For Industry Non-CME events: Symposium Dinner Symposium Corporate Symposium Educational Symposium Session Educational Session Dinner Session Corporate Educational Session The Essentials of Anesthesiology. Sponsored by Company Name The Essentials of Anesthesiology, supported by Company Name

4 The ANESTHESIOLOGY 2013 Annual Meeting Language Usage Guidelines continued For Industry Product Theater presentations: (Please note: Presenters in the ASA Scientific and Educational Program are prohibited from presenting in an Industry Product Theater. Product Theater s cannot be described as educational sessions.) For Industry events, including Non-CME Educational Update Programs and Industry Product Theater presentations: This event is held adjunct to the This event is not sponsored or endorsed by ASA This event does not qualify for continuing medical education (CME) (Please note: All three of these disclaimers are required for all promotional materials for non-certified industry events.) For exhibitors creating websites dedicated to the (registration sites for Corporate Non-CME Educational Update programs, product theater presentations, etc.) For ASA Corporate Supporters ASA Industry Supporter (Please note: ASA Industry Supporters may use official logo or the above designation. The logo or designation MUST be placed in close proximity to the company name and/or logo and not near a product or program.) ASA Annual Meeting Supporter (Please note: ASA Annual Meeting Supporters may use the above designation in text only. The designation MUST be placed in close proximity to the company name and/or logo not near a product or program.) For Industry Product Theater presentations: Educational Educational Session Industry Product Theater Educational Industry Product Theater Educational Session Educational Product Theater Educational Product Theater Session For Industry events, including Non-CME Educational Programs and Industry Product Theater presentations: The event was planned independently of the ANESTHESIOLOGY 2013 annual and its partners and affiliates For Industry creating websites dedicated to the (registration sites for Corporate Non-CME Educational Update programs, product theater presentations, etc.) Sponsor ASA Sponsor Industry Sponsor Industry Supporter Industry Supporter of ASA Annual Meeting Sponsor ASA Annual Meeting Sponsor ANESTHESIOLOGY 2013 Sponsor Annual Meeting Supporter ANESTHESIOLOGY 2013 Supporter Sponsor of the Annual Meeting

5 The ANESTHESIOLOGY 2013 Annual Meeting Language Usage Guidelines continued Visit our booth at the Visit booth #XXX at the Visit us at the ANESTHESIOLOGY 2013 annual Visit Company Name at the #ANES2013 (Please note: #ANES2013 is the official hashtag for the and should only be used in tweeting or retweeting ASA content about the event.) The Mobile App #ASA2013 #ASA13 ASA App ASA Mobile App Annual Meeting App Annual Meeting Mobile App Mobile App ASA Daily News ASA DAILY NEWS asa daily news ASA DAILY NEWS ASA NEWS ASA DAILY *Guidelines subject to change without notice

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