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THE RETINA SOCIETY MEETING, 2008
EXHIBITION REGISTRATION FORM

You may only Advertise by signing up to Exhibit.
Click here for more information on the meeting and Exhibitor options.

NOTE: All fields are required.

Company


(as you wish it to appear in program)

Address:

 

 

City:

  State/Prov.:

Postal/Zip:

      Country:

Phone:

          Fax:

Email:

Website:

Contact Person

 

 

SUPPORT LEVEL

 

 

Gold Patron ($30,000 or more) *

 

Patron ($15,000) *

 

Benefactor ($8,000)

 

Publisher's Row ($3,000) (Medical Book Publishers only)

* Please email to retinasoc@aol.com, to be reproduced in the program

ADVERTISEMENT

 

 

Full page Ads

 @ $1,000 each

 

 

Half page Ads

 @ $500 each

 

Payment must accompany request. We will contact you with advertisement specifications and deadline.

If you are experiencing any problems with the form please contact terry@x-cd.com

 

 

 

 

 

Cancellation Policy: Deposits for booth space are not refundable.
Cancellation before June 1 will receive a 50% refund. There will be no refunds for cancellation after June 1.

 

 

 

 

 

I accept the above terms of registration