Displayer Registration Form
Thank you for your interest in becoming a displayer for Sciematics 2020, please use the following form to register.
Company/Organization Name:
Company website address (for publication in the program):
Contact Individual Name:
Mailing Address:
City/Town
Province
Postal Code
Phone Number
Email Address:
The receipt should be made out to:
Clear selection
Number of tables requested: (@ $250 (1st table) + $125 for each additional table (50% off for non-profit organizations))
Number of Lunch tickets: (One free ticket per table purchased; each ticket thereafter is $15)
Do you require electricity? (there is a limited number of outlets available)
Clear selection
We are a Not-for-Profit Organization:
Clear selection
Total amount of cheque enclosed:
I/we would be interested in doing a workshop as well. *
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