Exhibitor Registration

21st Annual Medical-Surgical Nursing Conference

Registration for Exhibit Space and/or Sponsorships for the
21st Annual Medical Surgical Nursing Conference
March 17th & 18th, 2011

Please indicate the number of item(s) that you are registering for or Download a PDF Version:
Exhibit space fees for 4'x8' tabletops:
Company representatives: at $200 per day at $350 for two days
Hospitals and schools: $150 per day $250 for two days
(Fee is waived for planning committee facilities)
Products to be exhibited:
Electrical outlet needed: Yes   No
Number Speaker Sponsorships:
Keynote speaker: $700
Breakout speaker: $300
Speaker sponsorship for the following speaker: Name:
Number Full Page Advertisement in syllabus: (must be copy ready) Deadline is March 1, 2011
Full page: $150
   
Day(s) attending: March 17 & 18 March 17 only March 18 only
Company:
Contact Person:
Address:
Address:
City:
State: Zip:
Telephone:
Email:
Payment: Visa   MasterCard
Name as it appears on Card:  
Card Number:  
Expiration Date:                          
Total Amount: $

Submit the application by pressing the Submit Application button only once!.

All checks should be made payable to:

Medical-Surgical Nursing Conference

and are due in full with this application. Application deadline is February 22, 2011.

Do not forget to send payment to:
Lou Mulligan, APRN-BC Questions?
Adult Acute Care Nurse Educator Contact: Lou Mulligan
UCSF Medical Center, Department of Nursing Education Telephone:  (415) 353-8833
2233 Post St., #201, Email
San Francisco, CA 94115