Society for Technology in Anesthesia

Corporate Membership Registration

Annual Corporate Members have been, and always will be, central to STA’s mission. The interaction between users and developers of technology is unique to STA, enhancing patient care and our collective ability to innovate.

Sustaining Corporate Members demonstrate a commitment to the future of the Society. It is a special relationship and the STA leadership is committed to partnering with Sustaining Corporate Members and creating value in this unique relationship.

STA CORPORATE MEMBER APPLICATION

Company Name: *

Address: *

City: *

State/Province: *

Postal Code: *

Contact Name: *

Contact Phone: *

Contact E-Mail Address: *

Corporate Member Level: *

Sustaining 3-yr Platinum Plus Corporate Member (2024-2026)- $15,000

Sustaining 3-yr Platinum Corporate Member (2024-2026) - $10,000

Sustaining 3-yr Gold Corporate Member (2024-2026) - $7,500

Annual Platinum Plus Corporate Member - $15,000

Annual Platinum Corporate Member - $10,000

Annual Gold Corporate Member - $7,500

Annual Silver Corporate Member - $5,500

Annual Entrepreneur Gold Corporate Member - $3,000

Annual Entrepreneur Silver Corporate Member - $2,000

Exhibit Space at Annual Meeting (according to your membership level): *

YES - tabletop space (Entrepreneur Gold, Entrepreneur Silver)

YES - booth space (Platinum Plus, Platinum, Gold and Silver)

NO - our company will not be exhibiting

Entrepreneur Gold or Silver Corporate Members *

I confirm my company has less than 100 employees.

N/A - I am not registering for an Entrepreneur level.

Payment Options: *

Credit Card (for Entrepreneur Gold and Silver Corporate Members ONLY)

Check (to be received by the STA Office prior to January 1, 2024)

Society for Technology in Anesthesia (STA)

6737 W Washington St, Ste 4210 | Milwaukee, WI 53214

P: 414-389-8600 | STAhq@STAhq.org | www.STAhq.org