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28th KP Nat'l Pediatric Conference 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
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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