ASIS&T 2010 Annual Meeting
Portfolio Service
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:

 

 

 

PORTFOLIO INSERTION PRICES

PLEASE RESERVE  PORTFOLIO INSERTIONS

Portfolio Insertion price          $500


PLEASE RESERVE THE EXCLUSIVE PORTFOLIO SPONSORSHIP

My company is a 2010 ASIS&T Table-Top Exhibitor
Portfolio sponsorship    $3,500


My company is not a 2010 ASIS&T Table-Top Exhibitor
 Portfolio sponsorship   $4,000

 

 

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