2010 Vendor Registration Information
     
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Vendor Information

The Missouri Perfusion Society is hosting a continuing education program entitled The 15th Annual Scientific Meeting of The Missouri Perfusion Society. The meeting will be held June 11th & 12th, 2010 in Springfield Missouri.

Vendor support is essential to the success of the meeting.  Vendor supported speakers are encouraged.

A copy of the program identifying the program sponsor, the program chairpersons, moderators and faculty will be available soon. An update will included be the agenda with presenters and their topics, their titles and/or their credentials.

Please note that the vendor registration fee of $500 can be paid on-line soon or download registration form for mailing to the Missouri Perfusion Society Treasurer, Tammy Haga-Greco, 1081 Hawkins Bend Dr., Fenton, MO 63026.

Registration includes vendor exhibit space with a 6 foot table, access to the meeting program, all meals and social activities.

The Missouri Perfusion Society is a non-profit organization and is tax exempt. The Federal Tax I.D. number is available upon request.



 

Vendor Registration & Payment Option Listed Below (On-line payment will be available soon. Please fill out the registration form below and e-mail it to the treasurer)

MAIL-IN REGISTRATION FORM

Please highlight, print selection, and mail

THE MISSOURI PERFUSION SOCIETY
15th ANNUAL SCIENTIFIC MEETING
JUNE 11th & 12th, 2010

VENDOR REGISTRATION


Vendor: _________________________________________

Contact Person: _________________________________________

Telephone Number: _________________________________________

E-mail address: _________________________________________

Names of those attending: ___________________________________
(3 maximum)
___________________________________

_______________________________________________

Please help us plan for food and beverage service. Indicate the number of persons attending the following:

Friday lunch_____ Friday reception: _____ 

Saturday breakfast: _____ Saturday lunch: _____

Please make your check for $500.00 payable to The Missouri Perfusion Society

Mail your check and this form to:


Tammy Haga-Greco, Treasurer
1081 Hawkins Bend Dr.
Fenton, MO 63026