Vinyltec® 2008 - "Raw Materials Technology for Flexible and Rigid Applications” Exhibitor/Sponsor Registration Form
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Exhibitor / Sponsor Registration - Primary Contact

Exhibitor/Sponsor First Name (one per registration form)*
Exhibitor/Sponsor Last Name *
Name (to appear on badge if different from above)
Company
Address*
City*
State/Province*
Zip*
Country*
Phone*
Enter phone number with dashes.
Example: 555-555-5555
Fax
Enter Fax number with dashes.
Example: 555-555-5555
E-mail*

Additional Information

Payment
Full payment must accompany registration form – no purchase orders accepted.

Cancellations / Refunds
  • Cancellations received prior to 9/12/08 will be refunded in full.
  • Cancellations received between 9/12 – 9/26 will be assessed a $50 cancellation fee.
  • No refunds will be issued after 9/26/08.


    • Exhibitor Opportunities

    $1,000.00   Tabletop Exhibit (Includes one Conference Registration for one person.)
    $200.00   Second Exhibitor/Tabletop person (Covers food for 2nd person assisting with Exhibit; does not include admittance to conference talks.)
    Second Exhibitor First Name
    Second Exhibitor Last Name
    Name (to appear on badge if different from above)
    Second Exhibitor Company
    Second Exhibitor Address
    Second Exhibitor City
    Second Exhibitor State
    Second Exhibitor Zip
    Second Exhibitor Phone
    Second Exhibitor Enter phone number with dashes.
    Example: 555-555-5555
    Second Exhibitor Fax
    Enter Fax number with dashes.
    Example: 555-555-5555
    Second Exhibitor E-mail

    Event Sponsorship Opportunities

    $   500.00   Bronze
    $1,000.00   Silver
    $3,000.00   Gold
    $5,000.00   Platinum

    Corporate Underwriting Opportunities

    $1,000.00   Tuesday Evening Reception
    $1,500.00   Coffee Break
    $2,000.00   Breakfast
    $2,500.00   Lunch

    Optional Seminar Information

    Registration Deadline
    The cutoff date to purchase Attendee tickets is 4:00pm, September 19th. Purchasing tickets after that date will have an additional $50.00 added to the ticket.

    Optional Pre-conference Half-day Seminars

    $200.00   AM – Response Surface Methods (RSM) for Process Optimization and Product Improvement | Mark Andersen, Stat Ease, Inc.
    $200.00   AM – Vinyl Formulation Basics | Len Krauskopf, Vinyl Consulting Co.
    $200.00   PM – Plastisol Formulation Basics | Richard Theissen/Doug Caster, Polymer Services and Innovations
    $350.00   SAVE with 2 : Choose either of the two morning seminars plus the afternoon half-day seminar and save!
    (Discount will be shown on receipt)

    Optional Pre-conference Two-hour Seminar

    $100.00   PM – Toxicology 101 | Ammie Bachman, ExxonMobil Biological Services (1:00 p.m. - 3:00 p.m.)
    $100.00   ASTM International D20 on Plastics Overview and Standards on Vinyl
    Brynn Murphy, ASTM and Mark Lavach, Arkema, Inc. (3:30 p.m. – 5:30 p.m.)
    Your Total is:

    NOTE: If you chose one of the morning seminars plus the afternoon half-day seminar, YOUR TOTAL will not reflect the increased cost of your Seminar attendance. Your adjusted total will be provided in the email confirmation you will receive shortly.

    This information will be sent through a secure SSL connection.

    Type*
    Number*
    Enter Credit Card number with spaces.
    Example: 5555 5555 5555 5555
    Expiration Month*
    Expiration Year*
    Name as it appears on the card*

    * Indicates Required Field
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