Exhibit Application

Registration for Exhibit Space and/or Sponsorships for the
20^th Annual Medical Surgical Nursing Conference
April 8^th & 9^th, 2010

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 $300 for two days
Hospitals and schools:	$100 per day $150 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, 2010
Full page:	$150

Day(s) attending:	April 8 & 9 April 8 only April 9 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 March 24, 2010. 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

20^th Annual Medical-Surgical Nursing Conference
April 8^th & 9^th, 2010
Conference Center, South San Francisco, California

Send mail to webmaster@med-surg.org with questions or comments about this web site.
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