COMPANY INFORMATION

Company Name:    
 

Street Address 1:   

City:   State:  

Zip/Postal Code:   Country:
 

Phone:   Extension:  

Fax:
 

E-mail Address:
 

Web Address:
 

Exhibit Contact 1:

E-mail:

Exhibit Contact 2:

E-mail:

Name of Attendee (s) (these people will be registered for the meeting - separate by comma): 

BOOTH RESERVATION

Single Booth ($695)         Double Booth ($1,100)
 

Please indicate companies that you wish to be (separate by comma):

Near        

Not Near 

SPONSORSHIP

Please indicate if you would like to sponsor:

Financial Support (please specify amount) 

Student Poster Award (please specify amount)           

Coffee or Refreshment Break (please specify amount)

Reception (please specify amount)

TOTAL AMOUNT: $

Make checks payable to: FLORIDA CHAPTER OF AMERICAN VACUUM SOCIETY
(Sorry, we are not able to process credit cards)

Please send payment/contribution by US mail to:
Mark Davidson
University of Florida, MICROFABRITECH
Surge Area (Building 226)
P.O. Box 116500
Gainesville, FL 32611-6500

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