Text Box: 36th Annual Meeting for the Society of Invertebrate Pathology July 26 – 30, 2003 Radisson Hotel, Burlington, Vermont

  Text Box: EXHIBITOR REGISTRATION FORM

PROGRAM AND BADGE INFORMATION:  

 

 

Name of Organization Exhibiting: _____________________________________________

Contact Person: ___________________________________________________________

Title: _________________________________ Phone: _____________________________

Fax: __________________________________ Email: _____________________________

Street Address: ____________________________________________________________

City: _________________________________ State: __________ Zip: _____________

p Yes, I would like to purchase a tabletop exhibit for $500

p        Yes, I would like to purchase a tabletop exhibit & the participant mailing list for $750

p        Yes, I would like to purchase a tabletop exhibit, participant mailing list and provide stuffer / give-a-ways for participant registration tote for $1000

The exhibiting space includes: 6ft table, skirting, chair and shared waste basket.

If your space requires electricity and/or other special needs, they may be requested for an additional fee.

Lunch will be provided.  Admission to conference sessions must be purchased separately. 

PAYMENT INFORMATION:

 
 


p VISA        p MasterCard                      p American Express

Credit Card Number:  _____________________________ Expiration Date: ____________

Signature of Cardholder: _____________________________________________________

Text Box: Please send completed form and payment by June 30, 2003 payable to: University of Vermont Attn: Donna O’Brien 322 South Prospect, Burlington, VT 05401 Fax: (802) 656-0306
 


A confirmation letter with complete details will be sent to each exhibitor after payment is received.  If you have questions, please contact: Donna O’Brien at (800) 639-3210 or Donna.Obrien@uvm.edu