SCSPS State Meeting Vendor / Sponsor Application


Please fill out the form below and a representative with the SCSPS will contact you when your application and payment is confirmed. After the application form is submitted, you will be brought back to this page, and the links to make a payment for your chosen Sponsorship or Vendor level are at the bottom.

Application Form









    Sponsorship and Vendor Levels

    (Fees can be paid with links provided)


    Sponsorship Levels

    Breakfast Buffet Sponsor: $1,500
    Pay for Breakfast Buffet Sponsorship Level Here

    Lunch Sponsor: $2,500
    Pay for Lunchtime Sponsorship Level Here
    (Exhibitor fee included with either Breakfast or Lunchtime sponsorship levels)

    Brochure Only: $250
    Pay for Brochure Only Level Here
    (If you don’t need a exhibition table during the meeting, and would like your name and practice to be included in the state meeting brochure, then please choose this option of sponsorship.)

    Vendor Exhibitor Fees

    General Vendor/Exhibitor Fee: $750
    Pay for Vendor/Exhibitor Fee Here

    If you prefer to send/pay directly then contact SCSPS Treasurer at:
    Gary Culbertson, MD, FACS
    Iris Surgery Center
    18 Miller RD
    Sumter, SC 29150
    garyculb18@gmail.com
    803.773.6361
    http://garyculbertson.com/

    Donations

    If you cannot make it to the state meeting, but would still like to help with a donation to the SCSPS, then click the link below.
    Donate here

    If you prefer to send or pay for the fees or donations directly then contact
    SCSPS Treasurer at:
    Gary Culbertson, MD, FACS
    Iris Surgery Center
    18 Miller RD
    Sumter, SC 29150
    garyculb18@gmail.com
    803.773.6361
    http://garyculbertson.com/