Pittsburgh 2012 Annual Biomedical Conference
May 16, 2012 - Penn State New Kensington
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Vendor Registration
Mini Trade Show
This year we are planning to have another mini trade show with the conference.
Please complete the form below if you would like to have a table top display.
For information to make a contribution, click on this link.
Do not enter anything in this text box otherwise your message will not be sent!
Vendor Registration Request Form
First Name:
*
Last Name
*
Title
*
Organization
*
E-mail:
*
Phone:
*
Address:
*
City:
*
State
*
Zip code:
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Short description of service or product to be displayed (this will be placed on Web site as well)
*
Your WEB site link (placed on the conference web site)
I understand that this is a request for a table top display and that I must receive a confirmation back to participate. There are a limited number of spaces available.
*
Yes
There is no required cost for a table top display, but you are welcome to make a donation to the BET Lab Upgrade. Please indicate a selection.
*
Unable to make donation
$10
$25
$50
Other
Registration to attend courses must be completed at a later time after the schedule is posted. If you would like to make a donation to the PSU BET Program Improvement Project, please use the form below for contributions.