SALIS: Conference - 2012 Exhibitor Form

Online Exhibitors Form (if paying by check, use print form). Deadline: April 30, 2012 Step 1: Fill in your information.
Name
Name on Credit Card (if different)
Email
Organization
Address
City
State
Postal Code
Country
Phone
Fax
Web URL
Exhibitors: please briefly describe the products or services you plan to exhibit:

Exhibitor Fees:

Full exhibit, $300

Full exhibit discounted with separate conference registration, $225

Name of person registered for conference:

Virtual exhibit, For profit, $200 US

Virtual exhibit, Non-profit, $100 US

"Take One" exhibit, $100