Dear Industry Colleagues:

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2 Dear Industry Colleagues: Course Director Ash Tewari, MBBS, MCh Co Directors Ketan K. Badani, MD Nina Bhardwaj, MD, PhD Carlos Cordon-Cardo, MD, PhD William Oh, MD Site Directors Mantu Gupta, MD Michael A. Palese, MD On behalf of Department of Urology at the Icahn School of Medicine at Mount Sinai Hospital in New York City, I would like to invite you to partner with the Second International Prostate Cancer Symposium and Inaugural World Congress of Robotic Oncology being held on September 6-9, 2017 at Mount Sinai Hospital in New York, New York. Ranked among the nation s best for Urology in the "Best Hospitals" issue of U.S. News & World Report, the physicians of Mount Sinai Urology Associates are leaders in robotic surgery and minimally invasive procedures to treat prostate, kidney, and bladder cancers. The Mount Sinai Urology team is also on the forefront of diagnosis and treatment for urinary tract and prostate disorders, erectile dysfunction, kidney stones, infertility, and pediatric urologic conditions. Join the Mount Sinai Department of Urology for an interactive symposium with 3D demonstration of the latest robotic surgery techniques for prostate, kidney and bladder cancer. Directed by the world s leading robotic experts and taught by an internationally renowned faculty, attendees gain emerging and practical tools to optimize their robotic surgical skills. Highlights include 3D viewing of robotic surgeries including prostate, kidney, bladder and reconstruction, point-counterpoint debates and inaugural address by Dennis Charney, MD, Dean of the Icahn School of Medicine at Mount Sinai. Affiliating with the Second International Prostate Cancer Symposium and Inaugural World Congress of Robotic Oncology is the most direct route in meeting with and sharing your products with some of the most well-known and respected health care providers and decision makers in the urological community. As an essential part of the symposium, you will be able to place your product in the hands of key opinion leaders in the field and encourage new and existing relationships. Please review the 2017 Partnership Prospectus and reserve your prime exhibit space today to participate in this cutting-edge urologic oncology conference. We look forward to having you as o industry partner. More information can be found at Mountsinaiurologycme.org or if you have questions please call Christina Espiritu at (847) or via at christina@veritasmeetings.com. Sincerely, Christina C. Espiritu Director of Specialty Programs Veritas Meeting Solutions 2575 Northwest Parkway Elgin, Illinois W: (847) F: (224) christina@veritasmeetings.com Mountsinaiurologycme.org

3 PARTNERSHIP INFORMATION GENERAL INFORMATION The World Congress of Robotic Oncology will provide attendees with Continuing Medical Education (CME) in addition to advanced knowledge with a multi-disciplinary robotics surgical focus, combined with new product knowledge learned in the exhibit hall. Official Meeting Dates: September 6-9, 2017 Official Exhibit Dates: September 6-9, 2017 MEETING LOCATION The Mount Sinai Hospital 1 Gustave L. Levy Place New York, NY SUPPORTING MOUNT SINAI UROLOGY Deliver your message in a professional, focused, and educational environment. The World Congress of Robotic Oncology provides you with networking opportunities to build relationships with new and existing customers. Choose a standard exhibit booth or a promotional partnership package, which provides extended promotional visibility for your company beyond the annual meeting. EXHIBITING The expected 100 attendees want to meet you face-to-face and examine your products first-hand. By exhibiting at the meeting, your company will be listed in promotional materials and the onsite program book. Space is limited, so act quickly! PROMOTIONAL PARTNERSHIP PACKAGES Secure a prime exhibit location and optimum visibility with a Pinnacle, Platinum, Gold, Silver, or Bronze Level Partnership package. In addition to your exhibit, participation in this program includes the pre-attendee registration list, your company logo and recognition in the annual meeting program book, signage and more. Please refer to the Promotional Partnership details in this prospectus for a complete list of benefits. Exhibit Description: One 6-foot table with two chairs and a wastebasket. Additional service information will be made available approximately three to four weeks prior to the meeting. Payment is due no later than August 1, 2017 Cancellations & Refunds: Our administrative office requires that all cancellations must be in writing. The following refund schedule applies: Cancellation on or prior to August 1, 2017, your exhibit fee will be refunded less a $250 administration fee. Cancellation after August 1, 2017; no portion of the original exhibit fee will be refunded. Assignment of Space: Exhibit space will be assigned at the sole discretion of the Congress. Factors affecting exhibit location include support level; the sign-up and payment date of the application, the number of exhibits, and proximity of competitors. EXHIBIT SCHEDULE The schedule below is for companies that will be participating at this meeting. Times are subject to change without notice Exhibit Set-Up: Wednesday, September 6, 2017 Exhibit Hours: Wednesday, September 6, 2017 Thursday, September 7, 2017 Friday, September 8, 2017 Saturday, September 9, 2017 Exhibit Teardown: Saturday, September 9, 2017 Registration: 8:00am 12:00pm 1:00pm 5:00pm 6:30am 5:30pm 6:30am 4:00pm 6:30am 6:00pm After 6:00pm Only employees of the exhibiting company, or its agents, will be issued a badge. Booths must be manned the entire time the exhibit area is open. For more information about exhibits, sponsorships, or advertising opportunities to support the Second International Prostate Cancer Symposium and Inaugural World Congress of Robotic Oncology through an educational grant, please contact: Christina C. Espiritu Director of Specialty Programs Veritas Meeting Solutions 2575 Northwest Parkway; Elgin, Illinois W: (847) F: (224) christina@veritasmeetings.com Mountsinaiurologycme.org

4 SECOND INTERNATIONAL PROSTATE CANCER SYMPOSIUM AND INAUGURAL WORLD CONGRESS OF ROBOTIC ONCOLOGY Pinnacle Level $50,000 Platinum Level $40,000 Gold Level $30,000 Silver Level $20,000 Bronze Level $10,000 Promotional Partnership Benefits Listed below are the benefits associated with each level Please select your level of support by indicating the amount in this row Full Page Black & White Ad in the Exhibit Guide INCLUDED INCLUDED Half-Page Black & White Ad in the Exhibit Guide INCLUDED INCLUDED INCLUDED INCLUDED Opportunity to host a Full-Day Program (Hands-On) during the meeting. (Meeting Room and Basic A/V included) INCLUDED TICKETS Six Complimentary Registrations INCLUDED INCLUDED Four Complimentary Registrations INCLUDED Exhibit Only $5,000 Two Complimentary Registrations INCLUDED INCLUDED ADVERTISEMENTS and MAILINGS One-Time Use of Attendee Mailing Labels (piece must be pre-approved by administrative office) INCLUDED INCLUDED INCLUDED INCLUDED Pre-Registration Attendee List INCLUDED INCLUDED INCLUDED INCLUDED Post Meeting Attendee List INCLUDED INCLUDED INCLUDED INCLUDED INCLUDED INCLUDED RECOGNITION Company Logo Displayed on the Website INCLUDED INCLUDED INCLUDED INCLUDED INCLUDED Company Logo Displayed on Signage INCLUDED INCLUDED INCLUDED INCLUDED INCLUDED Company Logo Displayed in the Newsletter INCLUDED INCLUDED INCLUDED INCLUDED INCLUDED Company Signage Recognized on the Website INCLUDED INCLUDED INCLUDED INCLUDED Company Sponsorship Recognized on Signage INCLUDED INCLUDED INCLUDED INCLUDED Company Sponsorship Recognized in Exhibit Guide INCLUDED INCLUDED INCLUDED INCLUDED EXHIBITING & BADGES Prime Booth - Unlimited Exhibit Attendee Badges INCLUDED INCLUDED Featured Booth - 6 Exhibit Badges INCLUDED Standard Booth - 4 Exhibit Badges INCLUDED INCLUDED INCLUDED ADDITIONAL EVENT TICKETS Welcome Reception with each Exhibit Attendee Badge INCLUDED INCLUDED INCLUDED INCLUDED INCLUDED INCLUDED ADDITIONAL ADVERTISING AND SPONSORSHIP OPPORTUNITIES Opportunity Description (See Guidelines Page for Further Details) Industry Sponsored Speaker Presentation $25,000 Poster Pavilion Sponsorship (Exclusive) (Company Logo Displayed on GOBO) $25,000 Wireless Code for Meeting Space (Exclusive) (Company Logo and Code Displayed on GOBO in Meeting Space) $25,000 Partial Sponsorship of the Welcome Reception in the Exhibit Hall (Company Logo Displayed on GOBO During Reception) $25,000 Full Color Ad on Back Cover or Inside Front Cover of the Exhibit Guide $10,000 (Location selection on a first come-first served basis) Company Logo with Welcome Message on GOBO in Featured Location in Meeting Space $10,000 Schedule-At-A-Glance Sponsorship $7,500 Attendee Arrival Bags Distributed at Registration (Exclusive) $7,500 Full Page Black & White Ad in the Exhibit Guide $5,000 Half-Page Black & White Ad in the Exhibit Guide $2,500 TOTAL Sponsorship Level (From Top Table) TOTAL from Additional Advertising and Sponsorship Opportunities (From This Table) GRAND TOTAL of SPONSORSHIP Cost Please select your opportunities by marking the amount below

5 ADVERTISING & DIGITAL SUBMISSION GUIDELINES Full Page Advertisement in Exhibit Guide This advertisement should be in portrait orientation. The specifications for the advertisement are 8.5 wide x 11 high with a ¼ bleed. The image should be black and white and should be sent in a high-resolution PDF format. Deadline is August 1, Half-Page Advertisement in Exhibit Guide This advertisement should be in landscape orientation. The specifications for the advertisement are 8.5 wide x 5.5 high with a ¼ bleed. The image should be black and white and should be sent in a high-resolution PDF format. Deadline is August 1, Schedule-at-a-Glance The Schedule-at-a-Glance is a smaller, less detailed schedule that can easily fit in an attendee s name badge or pocket and allows for a quick-look at the program without having to flip through the program book. For this sponsorship, we will need to have a high-resolution file of your company logo in an EPS format. Deadline is August 1, Welcome Reception Partial Sponsorship Partial sponsorship of the Welcome Reception is one of the most highly visible ways to support the Second International Prostate Cancer Symposium and Inaugural World Congress of Robotic Oncology on the wall of the exhibit hall during the Welcome Reception. The administrative office for the Congress will handle production costs and logistics associated with this sponsorship. Logo will be displayed in color. Please send a high resolution full-color PDF of your organization logo no later than August 1, Please send all creative materials listed above for approval to: Christina Espiritu at christina@veritasmeetings.com

6 WEDNESDAY, SEPTEMBER 6TH THURSDAY, SEPTEMBER 7 TH ADVERTISING & DIGITAL AGENDA SUBMISSION GUIDELINES 13:15-13:30 Push Up Challenge 13:30-13:45 Dean Welcome and Chairs Welcome 13:45-14:00 Last 75 years Journey (Achievements, Chairs, Voluntaries) Michael Droller 14:00-14:20 Stone Center Mantu Gupta 14:20-14:40 Men s Health Program Steven A. Kaplan 14:40-15:00 Sexual Medicine Robert Valenzuela 15:00-15:20 Reconstructive Urology Rajveer Purohit 15:20-15:40 Intervention Urology Ardeshir Rastinehad 15:40-16:00 Pediatric Urology Jefferey Stock 16:00-16:20 Precision Urology Michael Donovan 16:20-16:40 GU Immunotherapy Sujit Nair 16:40-17:00 Close of Meeting TBD MAIN ROOM 7:20-7:30 Introduction Ash Tewari SESSION I SCREENING & LOW RISK DISEASE Moderator: Vincent Laudone 7:30-8:00 How Nerve Sparing Changed the Outcome of Prostate Cancer Patrick Walsh 8:00-9:00 Live Surgery Moderator: Ketan Badani Panel: Thomas Ahlering, Giuseppe Carrieri, Michael Palese 9:00-9:10 Epidemiology Lorelei Mucci

7 AGENDA AGENDA continued 9:10-9:25 Screening For Prostate Cancer Fritz Schröder 9:25-9:35 USPTF Recommendations Badrinath Konaty 9:35-10:10 Genomic Complexity of Prostate Cancer Ash Tewari 10:10-10:40 Immunotherapy in Prostate Cancer James Gulley 10:40-10:55 Emerging Role of MRI for Screening: PROMIS Trial Mark Emberton 10:55-11:05 Emerging Role of Genomics Leonard Gomella 11:05-11:15 Novel Biomarkers Badrinath Konety 11:15-11:35 Active Surveillance Peter Carroll 11:35-11:55 Debate: Genomics vs. MRI in Risk Stratification Eric Klein vs. Ardeshir Rastinehad 11:55-12:05 Neurosafe: European Experience Alexander Haese 12:05-12:15 Neurosafe: US Experience Kenneth Haines 12:15-13:00 LUNCH BREAK 13:00-14:00 LIVE SURGERY Moderator: Vip Patel Panel: Badrinath Konety, Christopher Porter, Ronney Abaza SESSION II FOCAL THERAPY Moderator: Mark Emberton 14:00-14:10 Prostate MRI: What Urologists Should Know Bachir Taouly 14:10-14:20 3D Mapping Biopsy Nelson Stone 14:20-14:30 Targeting Strategies Arnauld Villers 14:30-14:50 Fusion Biopsy Peter Schulam

8 AGENDA AGENDA continued 14:50-15:00 Focal Therapy & Index Lesion Dipen Parekh 15:00-15:10 Focal Therapy: Is it ready for prime time? Herbert Lepor 15:10-15:20 HIFU: UK Experience Mark Emberton 15:20-15:30 HIFU: From Early Days to Present Stefan Thüroff 15:30-15:40 Gold Nanoparticle Ardeshir Rastinehad 15:40-15:50 COFFEE BREAK SESSION III TREATMENT FAILURE Moderator: Jorn Witt 15:50-16:00 Biochemical Failure Management Michael Cookson 16:00-16:10 Adjuvant vs. Salvage RT John Davis 16:10-16:20 Role of Salvage Extended LND in BCR Axel Heidenreich 16:20-16:30 Salvage RALP Vip Patel 16:30-16:40 Salvage Cryotherapy Aaron Katz 16:40-17:00 Debate: Salvage RALP vs. Cryotherapy Moderator: Ketan Badani RALP: Jim Porter, Vip Patel Cryotherapy: Aaron Katz, Dipen Parekh 17:00-17:10 Novel Therapies For Recurrence Brian Francis Chapin SMALL ROOM SESSION I IMMUNOTHERAPY & TUMOR MICROENVIRONMENT Moderator: Sasha Gnjatic 13:00-13:10 Role of tumor microenvironment and immune-suppressive pathways in localized and aggressive cancer Meriam Merad 13:20-13:50 Immune checkpoint inhibitors for Bladder Cancer Matthew Galsky

9 AGENDA AGENDA continued 13:50-14:10 Dendritic Vaccine platforms for Cancer Immunotherapy Oncogenomics and Neo-antigen discovery Nina Bhardwaj 14:10-14:20 COFFEE BREAK 14:20-14:40 Biomarkers and Immunotherapy Susan F. Slovin 14:40-15:00 Next generation platforms for Immune Monitoring Sacha Gnjatic 15:00-15:15 Success of Immunotherapy- Lessons learned from Inflamed and Noninflamed cancers 15:15-15:30 Clinical Integration of Neo-adjuvant platforms for prostate cancer immunotherapy and TCR vaccines for GU cancer Ashutosh Tewari 15:30-16:00 Panel Discussion Moderator: Dr. Tewari Panel: Nina Bhardwaj, Matthew Galsky, Susan Slovin, Miriam Merad, Sasha Gnjatic 16:00-16:10 COFFEE BREAK SESSION II IMMUNO-ONCOLOGY Moderator: Nina Bhardwaj 16:10-16:25 MAGE TCR Rajul Jain 16:25-16:40 Onco-immunology advances at Novartis Glen Dranoff 16:40-16:55 Advances in Immunotherapeutics and Onco-immunology Platforms Jun Liu FRIDAY, SEPTEMBER 8 TH MAIN ROOM SESSION I RADICAL PROSTATECTOMY Moderator: Manoj Monga 07:00-07:10 Surgical Anatomy of Prostate Atsushi Takenaka 07:10-07:20 Neural Supply of the Male Urethral Sphincter Thomas Bessede 07:20-07:50 Foundations of Anatomic RALP - Continence Ash Tewari 07:50-08:00 3D Imaging and Treatment Planning Francesco Porpiglia

10 AGENDA AGENDA continued 08:00-09:00 Live Surgery Moderator: Thomas Ahlering Panel: Dipen Parekh, John Davis, Jean Joseph, Francesco Porpiglia 9:00-9:10 Continence Sparing Techniques Thomas Ahlering 9:10-9:20 Nerve Sparing Techniques Vip Patel 09:20-09:30 Newer techniques in RARP/Fluorescent Guided Surgery Ashok Hemal 09:30-9:40 Pelvic LND for prostate cancer - Worth the Full Effort or Skip? John Davis 09:40-09:50 Extraperitoneal RP Jean Joseph 09:50-10:00 Perineal RP Jihan Kaouk 10:00-10:20 Journey of Robotic Surgery Mani Menon 10:20-10:30 COFFEE BREAK SESSION II TREATING LOCALIZED DISEASE Moderator: Rakesh Kapoor 10:30-10:40 Active Surveillance Deepak Kapoor 10:40-10:50 Brachytherapy Richard Stock 10:50-11:00 Focal Therapy Aaron Katz 11:00-11:10 Radical Prostatectomy Prasanna Sooriakumaran 11:10-11:20 Radiotherapy Michael Zelefsky 11:20-11:40 Debate: Radical Prostatectomy vs. Radiotherapy RP: Prasanna Sooriakumaran RT: Michael Zelefsky 11:40-12:00 Debate: Focal Therapy vs. Active Surveillance FT: Aaron Katz AS: Deepak Kapoor 12:00-13:00 LUNCH BREAK

11 AGENDA AGENDA continued 13:00-13:45 Anatomical Foundations of RP Nerve Sparing Ash Tewari 13:45-14:45 LIVE SURGERY Moderator: Mani Menon Panel: Craig Nobert, Prasanna Sooriakumaran, Jim Porter, Khurshid Guru SESSION III ADVANCED PROSTATE CANCER Moderator: Bobby Liaw 14:45-15:05 Disseminated Tumor Cells at the Time of Radical Prostatectomy - What is the real incidence? Kenneth Pienta 15:05-15:15 Functional Genomics Eric Shadt 15:15-15:30 PTEN Signaling and Metabolism Ramon Parsons 15:30-15:50 DNA Damage and Repair Philip Kantoff 15:50-16:00 Gene-Oncogene Interactions Carlos Cordon-Cardo 16:00-16:10 Prostate Cancer Heterogeneity Ganesh Palapattu 16:10-16:20 ADT and Castration Resistance William Oh 16:20-16:30 Castration Resistance and Chemotherapy Matthew Galsky 16:30-16:40 PSMA Targeted Therapy Daniel Petrylak 16:40-16:50 Multimodal Treatment Paradigm in early Metastatic Prostate Cancer Vincent Laudone 16:50-17:00 Role of Prostate Cancer Foundation In Supporting Prostate Cancer Research Jonathan Simons 17:00-17:10 Leveraging Philantropy and Promoting Top 10 Ideas For Research in Prostate Cancer Howard Soule 17:10-17:20 Best Poster Award 17:20-17:30 Intuitive Talk Gary Guthard

12 AGENDA continued SMALL ROOM SESSION I LOCALLY ADVANCED DISEASE Moderator: Kenneth Rozenveig 14:00-14:10 Role of RT For High Risk Disease Richard Stock 14:10-14:20 Role of ADT with RT Michael Zelefsky 14:20-14:30 Role of PSMA In Locally Advanced Disease Markus Hohenfellner 14:30-14:40 Cyberknife Jonathan Haas 14:40-14:50 IMRT Shawn Zimberg 14:50-15:00 Proton Beam Therapy Richard Stock 15:00-15:15 Debate: Cyberknife vs. IMRT Cyberknife: Jonathan Haas IMRT: Shawn Zimberg 15:15-15:25 Neoadjuvant Chemotherapy Trials Brian Francis Chapin 15:25-15:35 COFFEE BREAK SESSION II QUALITY OF LIFE Moderator: Victor Nitti 15:35-15:45 Penile Rehabilitation and Pharmacologic Treatment of ED Natan Bar-Chama 15:45-15:55 Penile Implantation Post-RP Robert Valenzuela 15:55-16:05 Urethral Stricture Management Rajveer Purohit 16:05-16:15 Urinary Incontinence & Nerve Regeneration Anthony Atala 16:15-16:25 Post-RP Incontinence Management Victor Nitti 16:25-16:40 Debate: PFMT vs. Early Sling vs. AUS Panel: Neil Grafstein, Steve Kaplan, Victor Nitti 16:40-16:50 LUTS after RALP & RT Jerry Blaivas

13 SATURDAY, SEPTEMBER 9 TH AGENDA 16:50-17:00 QoL and Lifestyle Changes - General Health Perpective Jefferey Mechanick 17:00-17:10 QoL and Lifestyle Changes - Urology Perspective Philippa Cheetham 17:10-17:20 Complications in Robotic Surgery Daniel Gainsburg KIDNEY CANCER I - Michael Palese, Ashok Hemal 7:00-7:05 Welcome and Program Overview Badani 7:05-7:25 Keynote Speech Guest Speaker TBD 7:25-7:50 Debate: Small renal mass biopsy Pro: Jaime Landman Con: Ronney Abaza 7:50 8:15 Panel Discussion on Management of Renal Cancer Presenter: Chandru Sundaram Panel: Jihad Kaouk, Jaime Landman, Ketan Badani, Rene Sotelo 8:15 8:40 Debate: Transperitoneal vs. Retroperitoneal Partial Nephrectomy Transperitoneal: Jihad Kaouk Retroperitoneal: Jim Porter 8:40-8:55 Tips and Tricks of Urinary Reconstruction Daniel Eun 8:55-9:05 COFFEE BREAK KIDNEY CANCER II Moderators: Reza Mehrazin, Chandru Sundaram 9:05 9:30 Debate: Partial vs. Radical Nephrectomy for ct1b and ct2 Renal Masses with Normal Kidney Function Pro: Alex Mottrie Con: Dipen Parekh 9:30 9:40 Complications of RAPN Ketan Badani AGENDA continued 9:40-10:05 Challenging cases and management strategies Moderator: Rene Sotelo Panel: Ketan Badani, Daniel Eun, Francesco Porpiglia, Jim Porter 10:05-11:30 Live Surgery Panel: Alex Mottrie, Aneesh Srivastava, Daniel Eun, Ashok Hemal 11:30 11:40 Complex robotic radical nephrectomy and IVC Thrombectomy Ronney Abaza 11:40-11:50 Adjuvant Therapy for High Risk RCC (S-TRAC trial) Nikhil Waingankar

14 AGENDA AGENDA continued 11:50 12:50 LUNCH BREAK Kidney Session III Moderators: Nikhil Waingankar, James Porter 12:50-13:50 Live/SEMI Live Surgery Badani PANEL: Kaouk, Abaza, Parekh 13:50 14:00 RCC Tumor heterogeneity and Personalized Medicine Ari Hakimi 14:00-14:10 Transitions and sequencing of latest therapies in advanced RCC Che-Kai Tsao 14:10-14:20 Role of Cytoreductive Nephrectomy in the Targeted Therapy Era Isuru Jayaratna 14:20 14:30 COFFEE BREAK Bladder Cancer I - Moderators: Michael Cookson, Khurshid Guru 14:30-14:35: Welcome Peter Wiklund 14:35-14:45 NBI vs. Blue Light Cystoscopy Mark Schoenberg 14:45-15:10 Debate: Management of 1 cm Urothelial Carcinoma of Renal Pelvis Endoscopic Treatment: Mantu Gupta Nephroureterectomy: Ashok Hemal 15:10-15:20 BCG Failure: Defining and Managing Difficult Patients Michael Cookson 15:20-15:35 Robot Assisted Radical Cystectomy Peter Wiklund 15:35-15:45 RAZOR Trial Dipen Parekh 15:45-15:55 ERAS Protocol Khurshid Guru 15:55-16:55 LIVE OR SEMI-LIVE CASE Moderator: Peter Wiklund Panel: Khurshid Guru, Ketan Badani, John Sfakianos 16:55-17:20 Debate: Open or Robotic Diversion Open: Michael Cookson Robotic: Khurshid Guru 17:20-17:30 Genomic Discoveries in Bladder Cancer John Sfakianos 17:30-17:40 Novel Chemotherapeutics in Bladder Cancaer Matthew Galsky 17:40-17:45 Closing Remarks: Badani

15 Second International Prostate Cancer Symposium and Inaugural World Congress of Robotic Oncology September 6-9, 2017 Mount Sinai Hospital New York, New York Please scan and this form along with the forms below indicating your level of support and any additional advertising and sponsorship opportunities to If you are mailing this form, please send to: World Congress of Robotic Oncology c/o Veritas Meeting Solutions Northwest Parkway; Elgin, IL Company Name (As it should appear on printed material) Contact Person (Individual to whom all exhibitor information will be forwarded) Title Street Address City State Zip Telephone Fax Product Special Requests ie. Accessibility, electrical requirements Representative Name (First, Last) Badges (Please look at benefits page to determine your complimentary allotment) Title Address Phone Payment Information Method of Payment: Check (Payable to Veritas Meeting Solutions) TIN#: Total Amount of Check: Check Number (if available): Signature (if paying by check): Credit Card Type: Visa MC AmEx Card Number: Expiration Date: CVV Code: Total to be Charged: Name on Card: Billing Address for Card: Signature: Questions- please contact Christina Espiritu at (847) or christina@veritasmeetings.com