2020 Vendor Application

Company Information

Contact Information

If the primary contact contact information is the same as the local representative, please leave those fields blank.

If interested, please select the following options:

Booth Payment

Price: $ 1,500.00

Just a heads up:

  • Each booth is 10ft x 10ft.
  • Signage, power, and internet are provided to all booths this year.
  • Please bring your own compressed gas and regulators.
  • Your booth location in the vendor hall will be assigned based on when we receive your application and payment
  • There is only one rate for booths this year (priced at $1500).
  • Receipts will be emailed to the primary contact name.

Need to get into contact?

  • Send an email to: kathy.rineer[at]encompasshealth.com
  • Give us a call at: +1.602.558.4558
  • Use our contact form located here.

Want to apply on paper?

  • If you would like to download and mail a form, please click here.
  • Checks must by payable to AZSRC (Arizona Society for Respiratory Care).
  • Please mail completed applications and checks to our PO Box.