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Exhibitor Registration
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Company or Organization Name
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Place the name of your company or organization here.
Address
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Line 1
Line 2
City
State
Zip Code
Country
Sponsorship Options
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Reception $4800
Luncheon Workshop $2900
Workshop $1300
Speaker Sponsor $900
Break Sponsor $650
Conference Bags Inserts $100
Booth $550 (includes 2 reps)
Total Number of Reps
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1 Rep (free with booth)
2 Reps (free with booth)
3 Reps (Add'l $90)
4 Reps (Add'l $180)
Total Sponsorship Contribution $
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Name of Person Responsible
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Email
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Phone Number
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Name of Attendees (for name tags)
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Booth Registration includes two members free. Additional members are charged a small fee.
Credit card Payment Information
Name on Credit Card
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Card Number
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Type Credit Card
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CCV Code
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Expiration Date (Month/Year)
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Credit Card Billing Zip Code
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By Checking This Box I Authorize the Charge to my Credit Card by The Southern Section of the AOAC
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Authorization to Charge
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