VENDOR PARTICIPATION FORM

Back to winter Meeting

Please choose one:
I will attend the Winter Meeting to be held Janaury 23-24, 2009 for the purpose of displaying my products.
I wish to be a sponsor for the Winter Meeting to be held Janaury 23-24, 2009, but I will not be in attendance and will not need a table.

Vendor Information

Company:

Your Name:

Address

City

State

Zip

Phone

Fax

Email (Required)

Type of Sponsorship

Gold Sponsor (Includes exhibit table, recognition in the program brochure*/signage as a lecture and special event sponsor, and logo in NHMI’s Newsletter.)	$5,000
Lecture Sponsor (Includes exhibit table, sponsor-named lecture including recognition in the program brochure*, and upon introduction of speaker.)	$3,500
Exhibitor (Includes exhibit table and recognition in the program brochure*.)	$2,000
½ Table Exhibitor (Dependent upon availability of other Exhibitors looking to share an exhibit table. Includes recognition in the program brochure*.)	$1,000

* For vendors enrolling by August 31, 2008.

New Hampshire Musculoskeletal Institute
35 Kosciuszko Street | Manchester | NH | 03101
Phone: 603-627-9728 | Email: info@nhmi.net