Product Workshop Form - Experimental Biology

The deadline to be listed in the Meeting Program is January 10, 2012. Applications received after January 10 will be listed in the Meeting Addendum.

Time Requested

[Please choose a presentation time slot]

Please select two alternative workshop time slots below. Alternative time slots will be assigned if your primary selection is not available.
Or

Contact Information
Please print information exactly as you wish it to appear in the Annual Meeting Program.
Company Name	*
Street Address/P.O.#	*
City
State	*
Country
Zip	*
Phone	*
Fax
Email	*
Website (http://)
Contact Name	*
Contact Email	*

Workshop Information
Presenter Name
Workshop Title
Workshop Description
(Do not exceed 1250 characters (including spaces). Any special symbols, such as Greek letters, should be written out in parentheses. Type description in one paragraph. BE SURE TO PROOFREAD YOUR SUBMISSION.)

Payment Information
Cost is $1500 per hour (includes A/V)

After you receive a confirmation from Exhibit Management you may pay online under your account or mail check payable to:
Experimental Biology