2017 CANeLearn Sponsor/Exhibitor Agreement
If you have any questions, please email info@canelearn.net, or see information posted on http://CANeLearn.net/symposium
Company/Organization
Sponsor/Exhibiting Organization Name
Your answer
Primary Contact and Title
Your answer
Billing Address
Your answer
Telephone Numbers (Office and Contact Cell)
Your answer
Email(s)
Your answer
Website (to direct delegates to)
Your answer
Logistical Contact (for Service Kits, Booth Assignments, etc.)
Name
Your answer
Telephone (office and cell)
Your answer
Email
Your answer
Sponsorship Level
Please select one
Please select your sponsorship level
Required
Badge Information
List all Representatives Attending the Event based on Sponsorship Level (name and email)
Representative 1 Name
Your answer
Representative 1 Email
Your answer
Representative 2 Name
Your answer
Representative 2 Email
Your answer
Representative 3 Name
Your answer
Representative 3 Email
Your answer
Representative 4 Name
Your answer
Representative 4 Email
Your answer
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