|
Company
Name |
Telephone |
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|
Contact
Person |
Title |
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|
Address |
FAX |
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|
City |
State |
Zip |
Email |
EXHIBITOR AND SPONSOR
OPPORTUNITIES
|
FEES |
Late Registration after 3/15/07 |
Late Registration after 4/01/07 |
|
Standard
Orthopedic Exhibit Space: |
$ 3000 |
$ 3450 |
$ 3750 |
|
Premium
Orthopedic Exhibit Space |
$ 5000 |
$ 5750 |
$ 6250 |
|
Hands-on
Laboratory |
$ 2000 |
$ 2300 |
$ 2500 |
|
|
|
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SPONSORS
|
FEES |
||
|
Food
and Beverage: Coffee Break |
$
1000/per day # days ______ |
||
|
Food
and Beverage: Lunch |
$
1000/per day # days ______ |
||
|
Print
Advertising: Inside Front Cover |
$ 1000 |
||
|
Print
Advertising: Inside Back Cover |
$ 1000 |
||
|
Print
Advertising: Outside Back Cover |
$ 1500 |
||
|
Print
Advertising: Half page ad (inside) |
$ 250 |
||
|
Print
Advertising: Full page ad (inside) |
$ 500 |
||
|
|
|
||
|
TOTAL
FEES: |
$ |
||
|
Subtract Applicable 10% discount if paid for by
March 1, 2007 |
$ |
||
|
REMIT
TOTAL PAYMENT |
$ |
||
Complete
this form and send payment by check made payable to:
David Nelson, MD/eRadius, 1363 S. Eliseo
Drive, Suite B, Greenbrae, CA 94904
* You will need to register all of your staff so we have names and pertinent information for each. Please register online at (online page should be up by Feb 8)
* You will also need to reserve hotel rooms at the Grand Hyatt Hotel.