Home > All Conferences > 2010 Kaiser Permanente National Gastroenterology Conference > Exhibitor Registration >   2010 KP Nat'l Gastroenterology Exhibitor Registration
	Our Price: Company Information for Exhibit and Badges First Name*: Last Name*: Post-Title: (Please select) MBA MD MD, MBA MD, PhD PharmD PhD Other    If "Other" please note your post-title in the Remarks section below. Company Name*: City*: State*: E-mail address*: Cell Phone: I am the lead onsite contact*: Yes No Remarks: Enter remarks or custom post-title here Hotel Reservation No Hotel Required: Check Here if you do not wish to reserve a hotel at this time. Check-In Date: Use format MM/DD/YYYY; date you will arrive Check-Out Date: Use format MM/DD/YYYY; date you will depart Bed Request: Number of beds - Enter 1 or 2; hotel cannot guarantee Room Type: (Select Room Category) Inland View - $195/nt Partial Ocean - $245/nt Ocean View - $305/nt Ocean w/ Balcony - $365    Please note: hotel rate does not include $20/day mandatory valet parking. # of Rooms: Enter the number of rooms you are requesting Special Request: *Enter special room requests. Indicate if reserving more than one room, or if sharing a room with another attendee. Hotel cannot guarantee special requests. Credit Card Number: A credit card is required to guarantee the hotel room. Expiration Date: Use format MM/DD/YYYY Name on Card: Exhibit Hall (Lead Contact only) We plan to exhibit: Yes No We need electrical power: Yes (Note: please contact Conference Services Manager at the hotel to arrange) No We need phone/T1 line (specify): (Note: please contact Conference Services Manager at the hotel to arrange) We need a special setup (specify):

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