Exhibitor and Booklet Advertisement Registration
Organization
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Full Name (Include Spouse if Attending, eg. Bob & Betty)
*
First Name
Last Name
Title/Position
E-mail
*
Phone Number
*
-
Area Code
Phone Number
1 Complimentary Registration
Included
OPTIONS AVAILABLE
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Standard 8' Table
$
250.00
Full Page Program Ad
$
40.00
Ad size is 4.5" W x 7.5" H
1/2 Page Program Ad
$
20.00
Ad size is 4.5" W x 3.5" H
Total
$
0.00
Total Cost
Additional Requests
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