ASIS&T 2010 Annual Meeting
Table Top Display
Order and Billing Information Form
 

 Name of Organization:
 

 

 Person Authorizing:

 

 Billing Address:
 

 

 City:
 

 

 State:
 

 

 Zip Code:
 

 

 Country:

 

 Country Postal Code:

 

 Daytime Phone:
 

 

 Fax Number:

 

 E-Mail Address:
 

 

 Purchase Order Number:

 
   


        TABLE TOP DISPLAY PRICES
         $800 (before 9/1/10)
         $900 (after 9/1/10)

        DISPLAY HOURS
         Sunday, Oct. 24, 2010, 1:00pm - 5:00pm
        Monday, Oct. 25, 2010, 8:30am - 5:00pm
        Tuesday, Oct. 26, 2010, 8:30am - 12:00noon
         

 

PAYMENT INFORMATION
   

 Payment Preference:

 

 Credit Card Number:

 

 Expiration Date:

 
   

 

   


If paying by check, please make it payable to "ASIS&T".
 

Please send your completed form (and check) to :

Vanessa Foss
ASIST Conference
1320 Fenwick Lane, Suite 510
Silver Spring, MD 20910

If you have any questions, please feel free to contact
Vanessa Foss, Exhibits Coordinator
email: vfoss@asis.org , phone (301) 495-0900, or fax (301) 495-0810