2009 SNMA Region II Pre-Medical Forum - Hosted by University of Illinois at Chicago

2009 Region II SNMA Pre-Medical Forum Exhibitor Registration

Thank you for your interest and participation in the 2009 Region II SNMA Pre-Medical Forum Recruitment Fair. Exhibitor on-line registration closes on Friday, February 27, 2009.

Exhibitor registration can be completed online using this form and paying through PayPal (or with a credit/check/debit card) or by downloading our Exhibitor Registration Form and sending it to us by e-mail at premedconf2009@gmail.com.

Please do not register online if you are unable to issue payment by way of PayPal, i.e. via credit card, debit card, or PayPal submitted check.

Exhibitor registration deadlines:
Friday, March 13th, 2009 - REGISTRATION FORM & FEE DUE
Friday, March 13th, 2009 - ADVERTISEMENT DESIGN & FEE DUE

Recruitment Fair: I WILL participate in ONLY the SNMA Recruitment Fair on Saturday, March 21, 2009 9:15 AM-4:00 PM ($160.00)

I WILL participate in the SNMA Recruitment Fair AND will take out an advertisement for my institution in the conference booklet. ($160.00 + advertisement fee)

I WILL ONLY take out an advertisement for my institution in the conference booklet. (advertisement fees below)
Advertisement for my institution in the conference booklet: Full page ($150.00)
1/2 page ($100.00)
1/4 page ($70.00)
Business Card ($40.00)
After registration, please e-mail your advertisement to premedconf2009@gmail.com by Friday, March 13th, 2009.
Advertisement Title (if advertisement chosen):
Advertisement Brief Description (if advertisement chosen):
Breakfast Tickets ($25.00 per person):
Lunch Tickets ($25.00 per person):
*Exhibitor Name:
*Exhibitor Title:
*Exhibitor Institution:
*Exhibitor Address:
*Exhibitor Phone Number: (in 10-digit format, e.g. 6625551212)
*Exhibitor E-mail Address:
*Name of Person that Will Be Providing Payment (i.e. whose name will be on the payment through PayPal):