Gifford-Truhlsen Conference 2026 Sponsor Registration

Please fill out the form below for conference sponsors.

CONFERENCE REGISTRATION IS MANDATORY TO ATTEND LECTURES.

View conference information (opens in new window)
View Conference agenda (opens in new window)
View sponsorship details (opens in new window)

View 2026 Gifford-Truhlsen Sponsor Letter (opens in new window)
View 2026 Gifford-Truhlsen Needs Assessment (opens in new window)
View UNMC's W-9 (opens in new window)

* Denotes required field

Sponsor Information

* Institution

Institution Street Address

Line 2 (Optional)

City

State

Zip Code

* Contact Person First Name

* Contact Person Last Name

* Title

* Phone Number

* Email Address

* Sponsor Level

All sponsorships include Signage at registration and Recognition in program

Platinum = $5,500(Includes: 4 attendees; booth May 29-30; breakfasts; Friday's lunch, reception, and dinner)
Gold = $4,000(Includes: 2 attendees; booth May 29-30; breakfasts; Friday's lunch, reception, and dinner)
Silver = $2,500(Does not include booth or meals)
Silver + booth fee ($250) = $2,750(Includes: 2 attendees; booth May 29; Friday's breakfast and lunch)

* Days Exhibiting

(Only Platinum level sponsors are invited to exhibit at the Surgical Simulation Workshop.
Participating sponsors are expected to be present for the duration of the workshop.)
Friday-Saturday, May 28-29 Surgical Simulation Workshop
Friday, May 29 Conference
Saturday, May 30 Conference

Additional Sponsorship Opportunities

Conference Handouts ($500)

Friday Break ($1,000)

Saturday Breakfast ($1,500)

Friday Breakfast ($1,000)

Friday Lunch ($1,500)

Saturday Break ($1,000)

Attendee Information

* Number of Attendees

Attendee #1

* First Name

* Last Name

* Title

Credentials

* Phone Number

* Email Address

Meals

* May 28 Lunch (Platinum only)

Yes No

* May 29 Breakfast

Yes No

* May 29 Lunch

Yes No

* May 29 Sponsor Reception (Gold and Platinum only)

Yes No

* May 29 Dinner (Gold and Platinum only)

Yes No

* May 30 Breakfast

Yes No

* Food Options Non-vegetarian
Vegetarian
Vegan
Other (Answer in Dietary Restrictions)
Dietary Restrictions

Conference Registration (Lectures)
Register to attend the lectures. (+ $125)

Friday, May 29
Saturday, May 30

Attendee #2

* First Name

* Last Name

* Title

Credentials

* Phone Number

* Email Address

Meals

* May 28 Lunch (Platinum only)

Yes No

* May 29 Breakfast

Yes No

* May 29 Lunch

Yes No

* May 29 Sponsor Reception (Gold and Platinum only)

Yes No

* May 29 Dinner (Gold and Platinum only)

Yes No

* May 30 Breakfast

Yes No

* Food Options Non-vegetarian
Vegetarian
Vegan
Other (Answer in Dietary Restrictions)
Dietary Restrictions

Conference Registration (Lectures)
Register to attend the lectures. (+ $125)

Friday, May 29
Saturday, May 30

Attendee #3

* First Name

* Last Name

* Title

Credentials

* Phone Number

* Email Address

Meals

* May 28 Lunch (Platinum only)

Yes No

* May 29 Breakfast

Yes No

* May 29 Lunch

Yes No

* May 29 Sponsor Reception (Gold and Platinum only)

Yes No

* May 29 Dinner (Gold and Platinum only)

Yes No

* May 30 Breakfast

Yes No

* Food Options Non-vegetarian
Vegetarian
Vegan
Other (Answer in Dietary Restrictions)
Dietary Restrictions

Conference Registration (Lectures)
Register to attend the lectures. (+ $125)

Friday, May 29
Saturday, May 30

Attendee #4

* First Name

* Last Name

* Title

Credentials

* Phone Number

* Email Address

Meals

* May 28 Lunch (Platinum only)

Yes No

* May 29 Breakfast

Yes No

* May 29 Lunch

Yes No

* May 29 Sponsor Reception (Gold and Platinum only)

Yes No

* May 29 Dinner (Gold and Platinum only)

Yes No

* May 30 Breakfast

Yes No

* Food Options Non-vegetarian
Vegetarian
Vegan
Other (Answer in Dietary Restrictions)
Dietary Restrictions

Conference Registration (Lectures)
Register to attend the lectures. (+ $125)

Friday, May 29
Saturday, May 30

Hotel Accommodations

Omaha Marriott, 10220 Regency Circle, Omaha 68114
A block of rooms is being held for this event through May 7th. Please use the link below to receive the event rate.

Book your group rate for UNMC / Truhlsen Eye Institute 2026 Gifford-Truhlsen Conference...

Payment Information

Sponsorship Level and Lecture Registration prices reflect the Early Bird Discounts of $25
(Prices good through May 14, 2026)

Your Cost: 0

* My method of payment is:

Credit Card or eCheck (Information Taken On Next Page)

Company Check

Check Number:

Please mail paper checks to:
UNMC/TEI
Attn: Kim Witt
985540 Nebraska Medical Center
Omaha, NE 68198-5540

Questions?
Please contact Kim Witt: kiwitt@unmc.edu or 531-541-0907.

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