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Exhibit Application Form

Please print out this document, fill in, and mail to address at bottom:

Conference:

 

Exhibit Dates:

Location:

 

Projected Attendance:

 

Tax ID:

91-6001537

Exhibit Information

The exhibit hall is designed primarily for small freestanding tabletop displays. However, we can easily accommodate your needs for additional space with two standard display tables or the equivalent floor space for larger floor-type displays or equipment such as beds, wheelchairs, etc. Table positions are chosen by each exhibitor on a first come basis once payment is received. However, CNE reserves the right to designate where displays fit best with the room layout and to reserve certain tables for exhibitors who provide a major conference contribution beyond the exhibit fee. CNE may place "reserved" signs on certain tables for exhibitors (at their request) who have provided a major conference contribution beyond the exhibit fee. Please note that displays and materials my not be sent directly to the conference location and must be brought in on the first morning of the conference. More detailed information will be sent to confirmed exhibitors prior to the conference.
Company Information

Company/Organization:

Division/Department:

Company Address:


City:

State:

Zipcode:

Keywords about products/services:

Your First Name:

Your Last Name:

Your phone number:

Your email address:

Representative(s) who will staff your exhibit: (if applicable)

 
Fees & Payment Options

One 72x30-inch table: $_________
Two 72x30-inch tables: $_________
Electrical service to exhibit space: $_________
Payment will be made by:
Credit card #: ___________________________ Exp. Date: _______________
Budget number: ________________ Budget name: ____________________________ (UW and HMC only)
Check enclosed   (Payable to University of Washington)
Check to follow  Please explain: _____________________________________________________________________
FE Exempt   Please explain: _____________________________________________________________________

 

Additional Support

My company would like to provide support to Continuing Nursing Education!
Educational Grant
Other: ______________________________________________

Please provide grant website or other contact information:
_______________________________________________


Continuing Nursing Education
Box 359440, Seattle, WA 98195-9440 | 206-543-1047 | Fax 206-543-6953
cne@u.washington.edu | uwcne.org