ASIS&T 2011 Annual Meeting
Demonstration Sessions
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:

 

   

DEMONSTRATION PRICES

    In Depth Product Demonstration Session:        $550*

      Early bird special (by September 1, 2011)   $500

      Table Top Vendors                                    $400

      *includes a 20% discount on Conference Program advertising

    SCHEDULE PREFERENCE:

     Sunday       Monday       Tuesday

 

 

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
8555 16th Street, Suite 850
Silver Spring, MD 20910

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