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* 1. First Name

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* 2. Last Name

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* 3. Email address

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* 4. Phone number

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* 5. Mailing Address

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* 6. Sponsorship Packages

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* 7. Exhibitor Opportunities

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* 8. A La Carte Opportunities

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

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* 10. What is the name of your company (as you would like it to appear in meeting
materials):

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* 11. 50 word company description (as you would like it to appear in meeting materials):

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

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

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* 13. Company email address (as you would like it to appear in meeting materials):

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* 14. Company phone number (as you would like it to appear in meeting materials:

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* 15. I understand that cancellations received on or before February 1, 2018 will incur a $200 administration fee. All cancellations received after the deadline will not be eligible for a refund. Cancellations must be submitted in writing to the NANOS Executive Office at meetings@nanosweb.org.

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* 16. I agree to the terms and conditions described in the 2019 NANOS Prospectus.

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* 17. Please list the name and email address the invoice for payment should be sent to.

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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