Exhibitor Registration


General Information
	About the Symposium
	Rationale
	Major Sub-Themes and Topics
	Symposium Organization
	Symposium at a Glance
	The PROGRAM

Symposium Sites
	North American Site
	Europe Site
	South America Site

North American Site
	About the site
	Local Organization
	Important Dates, Fees, and Deadlines
	Registration
	Pre-arrival Form
	Accommodations and Transportation
	Side Excursions
	Exhibitors / Sponsors Information
	Exhibitors Contract
	Exhibitors Registration
Contact us

NORTH AMERICAN SITE

Exhibitor / Sponsor Registration Form

Please fill in the Registration form, make a hard copy and mail it with your payment to Barbara Martin at the address at the bottom of the form.

Company
Address
City State Zip Code

Country

Web Site

Contact Person Title
Telephone Fax
E-mail

Your registration fee includes complimentary admission for two persons:

On-Site Representative #1 Title
On-Site Representative #2 Title

Additional Vendor Attendees will be accepted.

Exhibitor Registration Fees

Please check the appropriate box:

$ 400 Commercial Exhibitor
$ 200 Non-Profit Exhibitor
$50 Additional Vendor Attendee

Vendor Attendee #1 Title
Vendor Attendee #2 Title

$15 per person Thursday lunch

$15 per person Friday lunch

$15 per person Saturday lunch

Booth Description

A description of your company's exhibit will appear on the conference Web site and in the conference program. Please submit a 50-60 word description with this form.

Conference Sponsor

$5000
$2500
$1000
$500

All Conference Sponsors will receive a complimentary registration to the conference.

Payment

TOTAL enter here $

Payment Method: If other, please specify:

Purchase Order Number:

Card Number:

Expiration Date:

Authorization Code (extra 3 digits located in the signature box on the back of MasterCard, Visa and Discover and on the front beneath the regular card number on AMEX.):

Signature (required for credit card purchases):

Make Checks Payable to:

Physics Dept - NAESA 2006 attn: Barbara Martin, Fiscal Technician, VCU Physics Department, Virginia Commonwealth University, 1020 West Main, Richmond VA 23284-2000