Enter Here

Instructions:

There is a $100 entry fee for each product.
Upon receipt of notice for the entry fee, Suzanne Kirchner will send the 2-page submission form which has instructions and information.
You may submit supporting documentation (studies, graphics, histologies, other imaging, brochures, marketing materials, etc.), but only a MAXIMUM of 6 pages of supporting documentation.
Submission deadline is Friday, August 6, 2021. No submissions will be accepted after this date.

Contact Name:*
Email Address:*
Company Name:
Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Contact Telephone:*
Name of technology being submitted:*
Terms*
- I have read the terms of submission and acknowledge that my technology meets these terms.
Payment Options*
- VISA
- MasterCard
- American Express
Entry Fee
Price: $100.00
Credit Card
American Express
MasterCard
Visa
Card NumberExpiration Date Security CodeCardholder Name