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* 1. Company Name (as you would like it to appear in meeting materials)

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* 2. Primary Contact First Name (all exhibit and sponsor correspondence to be sent to this individual)

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* 3. Primary Contact Last Name (all exhibit and sponsor correspondence to be sent to this individual)

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* 4. Primary Contact Email Address (all exhibit and sponsor correspondence to be sent to this email address, including the invoice for payment)

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* 5. Primary Contact Phone Number

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* 6. Company Website Address (as you would like it to appear in meeting materials)

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* 7. Company Email Address (as you would like it to appear in meeting materials)

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* 8. Company Phone Number (as you would like it to appear in meeting materials)

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* 9. Company Mailing Address (as you would like it to appear in meeting materials)

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* 10. Please provide a 50-word company description (as you would like it to appear in meeting materials):

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* 11. Please upload your high resolution company logo for meeting materials here. 

GIF, JPEG, JPG, PNG file types only.
Choose File

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* 12. Sponsorship Packages

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* 13. A La Carte Options

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* 14. Exhibitor Booth Registration

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* 15. Additional Badges (insert number of badges in text box below)- $250 each

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* 16. I understand that cancellations are non-refundable and must be submitted in writing to the NANOS Executive Office at meetings@nanosweb.org.

Please click Done to complete your registration.  An invoice will be sent to the email address provided.  Please contact Tara Thebeau at meetings@nanosweb.org if you have any questions. 

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