Individual Registration

Please enter information in the form below to complete your registration for 2026 AsMA-UHMS Exhibit Space Registration.

THIS FORM IS FOR CREDIT CARD PAYMENTS ONLY - registration & checks must be mailed to: The HERLITZ COMPANY 108 Montgomery Street, Suite 205 • Rhinebeck, NY; payable in U.S. dollars and drawn on a U.S. bank to: Aerospace Medical Association

Today's date *

You are hereby authorized to reserve space for our use at the Joint AsMA and UHMS Annual Scientific Meeting.

First Name *

Last Name *

Organization

Address *

Address 2

City *

Zip *

Country *

State

Phone

Email *

Website *

A 50 word description of products/services to be exhibited must accompany your application for review and inclusion in the program *

What groups are you with *

AsMA

UHMS

Both

Select one type of Exhibitor

First Time Exhibitor

Corporate Member Exhibitor

Past Exhibitor

Non-Profit

Please list eight (8) choices of exhibit space. Since many companies will apply for the same space, we suggest you not concentrate your choices in one area.

Choice #1 *

Choice #2 *

Choice #3 *

Choice #4 *

Choice #5 *

Choice #6 *

Choice #7 *

Choice #8 *

If possible, we wish to avoid being assigned next to or opposite the following companies:

Important: We are accepting full payment or a deposit of $1,100.00 (Non Profit/Scientific booth deposit is $1,100.00) for each booth requested. If you pay a deposit, you agree to pay the balance by MARCH 20, 2026 via submittal of this form.

Payment Information

Coupon

Amount

Discount Amount

Gross Amount

Deposit Amount

Payment Type

Payment Method

Bluepay

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Aerospace Medical Association &
Undersea and Hyperbaric Medical Society

Registration Opens On January 1, 2026

Individual Registration

THIS FORM IS FOR CREDIT CARD PAYMENTS ONLY - registration & checks must be mailed to: The HERLITZ COMPANY 108 Montgomery Street, Suite 205 • Rhinebeck, NY; payable in U.S. dollars and drawn on a U.S. bank to: Aerospace Medical Association

Please list eight (8) choices of exhibit space. Since many companies will apply for the same space, we suggest you not concentrate your choices in one area.

Important: We are accepting full payment or a deposit of $1,100.00 (Non Profit/Scientific booth deposit is $1,100.00) for each booth requested. If you pay a deposit, you agree to pay the balance by MARCH 20, 2026 via submittal of this form.

Payment Information

May 17-21, 2026

Sheraton Denver Downtown Hotel

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Login or Create an Account

Aerospace Medical Association &Undersea and Hyperbaric Medical Society

Registration Opens On January 1, 2026

Individual Registration

THIS FORM IS FOR CREDIT CARD PAYMENTS ONLY - registration & checks must be mailed to: The HERLITZ COMPANY 108 Montgomery Street, Suite 205 • Rhinebeck, NY; payable in U.S. dollars and drawn on a U.S. bank to: Aerospace Medical Association

Please list eight (8) choices of exhibit space. Since many companies will apply for the same space, we suggest you not concentrate your choices in one area.

Important: We are accepting full payment or a deposit of $1,100.00 (Non Profit/Scientific booth deposit is $1,100.00) for each booth requested. If you pay a deposit, you agree to pay the balance by MARCH 20, 2026 via submittal of this form.

Payment Information

Aerospace Medical Association &
Undersea and Hyperbaric Medical Society