Michigan State University College of Nursing

Title

Company Name

Address 1

Address 2

City

State
MIAKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISDSCTNTXUTVAVTWAWIWVWY

ZIP/Postal Code

E-mail Address

Phone

The exhibitor's fee is payable by check or credit card. Please complete the following and indicate your preferred method of payment.


Level of Participation

There are two levels of sponsorship and exhibitor opportunities that you or your company may participate as an exhibitor in this conference.

I. Sponsorship Status: Sponsoring breakfast, lunch, PM break, or proceedings, you and/or your company will be listed in our proceedings, recognized in signage and from the podium, and parking and lunch for one representative from your company.

Lunch ($4,000)
Continental Breakfast ($2,500)
Morning Break ($1,500)
Afternoon Break ($1,500)
Printing of Conference Proceedings ($750)

Yes, I would like to participate as an Exhibitor ($450)

Non-Profit ($350)

Number of additional representatives? ($35/each)

Names of additional representatives?

Electrical outlet required

Special Meal Accommodations?

Please make a note of who the special meal is requested for.

Other Comments or Concerns

(Credit card or check)