Hematology Highlights Meeting and Breast Highlights Symposium
February 5, 2011
InterContinental - Buckhead
Atlanta, Georgia
Registration Form for Sponsors or Exhibitors
Deadline: January 31, 2011
Company Name
Name of contact person
Phone
Fax
Email Address
Names of those attending on behalf of the company:
Sponsors
I am interested in becoming a sponsor.
If you would like to Sponsor, please contact Russ Still at Russ.Still@gasco.us or (770) 951-1018.
I am NOT interested in becoming a sponsor.
Exhibitors
Do you plan to exhibit?
YES $3500 (
pay securely online by clicking HERE
)
NO
If you are exhibiting, please check if you will require access to the following:
Electrical Outlet
Ethernet (Internet) Cable
Wireless Internet Connection
Other:
For Food & Beverage Planning for Exhibitors:
Total number of persons who will be working your exhibit