Exhibit Application Form

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Exhibit Application Form

Published on Rutgers College of Nursing (http://andromeda.rutgers.edu/~rucon)

Exhibit Application Form

Please note: The exhibit space will consist of one table (approximately 6 feet by 3 feet) and two chairs. Total space per exhibit will be approximately 9 feet by 6 feet. If you need additional space, please let us know in advance so we can plan accordingly.

You will be able to order equipment directly with the Hyatt Regency Hotel. You will be responsible for costs for electrical outlets, computers/monitors, phone lines, and/or long distance toll calls. Hotel contact information will be sent with exhibit confirmation.

Company:*

Address - Street:*

City:*

State:*

Zip:*

Email:*

Contact Person:*

Title:*

Phone - Cell:

Phone - Work:*

Phone - Home:*

Home Page Address (URL):*

Representative from your company who will be present):*

As name badge should read

Name of second representative:*

$100 fee applies

Product or services provided by your company:*

Brief description of the exhibit:*

Other requirements:*

Registration fees

Full Exhibit $695 ($795 after 2/14/12)
Combined Exhibit $295 ($395 after 2/14/12)

Payment Method:

Check
Credit Card

Note: Total payment due will be calculated on the following page

Source URL:
http://andromeda.rutgers.edu/~rucon/node/4259