Request for Tabletop Display Space

88th Annual Fall Conference

Overland Park Marriott Hotel, 10800 Metcalf, Overland Park, KS 66210, 913-451-8000

October 21-22, 2010

 

 

Please reserve a tabletop display space for our company at this meeting.

Name of Company          

Requested by                       

 

Signature_______________________________________________ Date       

              Address       

            Phone          FAX   

E-mail      

 

Exhibit Fee

 

Exhibitors will be acknowledged onsite at the meeting and in printed materials, deadline permitting.

 

You may also print & return, with payment to:

Sonora Thigpen

Kansas City Southwest Clinical Society

9225 Ward Parkway; Suite 114

Kansas City, MO  64114

Phone:  816/523-3383

FAX:    816-523-3393

email:  info@kcswcs.org

 

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