21ST Annual meetinG
Exhibitor REGISTRATION

2008 AMLI Annual Meeting
The Grand Hyatt
Seattle, Washington
August 9-12, 2008

EXHIBITOR REGISTRATION FORM

[PDF VERSION FOR PRINTING]

AMLI  •  21st Annual meeting
2008 EXHIBITOR and cORPORATE MEMBERSHIP
FORMS AND AGREEMENT

*ALL PAYMENTS MUST BE ACCOMPANIED BY

 A SIGNED LETTER OF AGREEMENT*

Registration Form

The exhibitor assumes the entire responsibility and liability for losses, damages, and claims arising out of the exhibitor's activities on the Hotel premises and will indemnify, defend and hold harmless the Hotel, its agents, servants and employees from any such losses, damages and claims.

Company Name


 

Contact Name


 

Address


 

City, State, Zip


 

TELEPHONE(s) / Cellular


 

FAX


 

E-MAIL


 

Corporate Membership

 
___ $750.00
 

Exhibitor
(Corporate Members)


___ $950.00
        (electricity must be ordered directly from the Grand Hyatt) 

Exhibitor
(Non-Members)


___ $1,450

        (electricity must be ordered directly from the Grand Hyatt) 

 Send Completed Form, Signed Letter of Agreement and Payment to:

Maggie Fogel, AMLI Administrator
34 West 83rd Street, Suite R, New York, New York 10024
TEL 212-873-2955,  FAX 212-873-2344,  maggie@maggiefogel.com


 

Meeting Annual Dinner

 

 


No. ___ at $35.00 per person (members)
No. ___ at $60.00 per person (non-members)


 

Names of Exhibitors
for Badges

   

 

 

Educational Grants

 

____  Elite ($10,000 or greater)

____  Platinum ($5,000-$9,999)

____  Gold ($2,500-$4,999)

____  Silver ($1,000-$2,499)

____  Bronze ($500-$999)

____  Contributor ($499 or less)

 

Other Support Opportunities

(Co-Host  support is also available)

 

____    Continental Breakfast Host   $3,500 (4 available)

____    Morning or Afternoon Break Host  $1800 (5 available)

____    Luncheon Host (Host picks up all costs) 

____    Thursday Evening Poster Session Host   $7,500

____    Friday Evening Cocktail Party Host   $4,500

____    Friday Evening Annual Dinner Host $10,000 subsidy

Abstracts  $500 per award
____    Young Investigator
____    Lab Manager
____    Doctorate

            NOTE: Abstract Awards will no longer bear the name of the supporter.

 

 

 

            PAYMENT - TOTAL AMOUNT $_________________

 

CHECKS:  Please make checks payable to "AMLI"

 

CREDIT CARD:  We wish to use Visa ______   MasterCard ______

          Credit Card Number: ______________________________ Exp. Date: ____________

 

          Name as it appears on card:_______________________________________________

 

          Signature:_______________________________  Amount of Charge $_____________

 

 

Send Completed Form, Signed Letter of Agreement and Payment to:

Maggie Fogel, AMLI Administrator
34 West 83rd Street, Suite R, New York, New York 10024
TEL 212-873-2955, FAX 212-873-2344, maggie@maggiefogel.com