ACR Convergence 2021 Industry Session Application General Information Thank you for your interest in hosting an industry-supported session at ACR Convergence 2021. Please be sure you are familiar with the different types of industry sessions being offered by reviewing the information on the ACR Website. Applications received by June 4, 2021 will be assigned timeslots based on the following criteria: Corporate donor status, including Foundation Corporate Roundtable membership Convergence 2021 Engagement Package Level Date/time order the application was received Applications received by June 4, 2021 will receive a timeslot assignment by June 14, 2021. All applications received after June 4, 2021 will be reviewed on a rolling basis and assigned available time slots based on the date/time the application is received. ACR cannot sign third-party agreements. Once time slots are assigned, ACR will provide companies with a Letter of Agreement (LOA) outlining all guidelines, payment terms, and cancellation policies. Timeslots will not be considered confirmed until a fully executed LOA is received.If you have questions, please contact Nat Cabrera at ncabrera@rheumatology.org. Question Title * 1. Supporting OrganizationThe organization(s) providing funding for the program Company Name Mailing Address City, State, Zip Contact Name Contact Phone Contact Email Question Title * 2. Sponsoring OrganizationAs applicable - The organization(s) providing accreditation for the program Company Name Mailing Address City, State, Zip Contact Name Contact Phone Contact Email Question Title * 3. Third-Party OrganizationAs applicable - the organization(s) responsible for logistics Company Name Mailing Address City, State, Zip Contact Name Contact Phone Contact Email Question Title * 4. Billing InformationOrganization that will be invoiced for the administrative fee Company Name Mailing Address City, State, Zip Contact Name Contact Phone Contact Email Question Title * 5. Please list the names and email addresses of all those you wish to receive notifications regarding this event: Question Title * 6. What type of industry session are you interested in hosting? Pre-/Post-Meeting session ($45,000) Industry Session ($60,000) Mini-Session ($15,000) Next