Exhibitor Registration Submitter Name(Required) First Last Email(Required) Company Name(Required)Mobile PhoneIs your company a 2026 corporate member of Alabama Cancer Congress and/or Mississippi Oncology Society?(Required) Yes No Corporate RepresentationPlease identify the two reps who will attend under this sponsorship below1st Representative First Last 1st Email 2nd Representative First Last 2nd Email 3rd Representative First Last 3rd Email 4th Representative First Last 4th Email By checking this box, I agree with this attestation statement.(Required) I agree It is expressly understood that exhibitors assume entire responsibility and hereby agree to protect, indemnify, defend and save harmless the Alabama Cancer Congress, the Mississippi Oncology Society, The Lodge at Gulf State Park, The University of Alabama at Birmingham, their owners, employees or agents against all claims, losses and damages to persons or property, governmental charges and/or fines, and attorney’s fees arising out of or caused by the exhibitor’s installation, removal, maintenance, occupancy or use of the exhibition premises or part thereof, excluding any such liability caused by the sole negligence of The Lodge at Gulf State Park, its owners, employees, and agents. In addition, the exhibitor acknowledges that Alabama Cancer Congress, the Mississippi Oncology Society, The Lodge at Gulf State Park and the University of Alabama at Birmingham do not maintain insurance covering exhibitor’s property and that, if desired, it is the sole responsibility of the exhibitor to obtain business interruption and property damage insurance covering such losses by the exhibitor.Payment InformationPlease select from the registration types below and complete your registration with payment. If you would prefer to pay by check, please make it payable to Alabama Cancer Congress and mail it to: Alabama Cancer Congress ATTN: Gulf Coast Oncology Summit, 574E Ritchie Highway #271, Severna Park, MD 21146 Registration Type(Required) Corporate Member Exhibitor $1500 Non member Exhibitor $7000 Industry (extra badge for exhibiting companies) – $350 Pay by check Total Credit Card (your payment will be processes securely with Stripe) CAPTCHA