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2010 aazv_conf_exhibitor_reg_form

(You can copy what follows and paste into a word processing document.  Print it and fax or mail it to Julie Fazlollah)

EXHIBITOR REGISTRATION FORM 

AMERICAN ASSOCIATION OF ZOO VETERINARIANS
2010 CONFERENCE
in conjunction with
ASSOCIATION OF REPTILE AND AMPHIBIAN VETERINARIANS
October 23-29
Exhibit Dates, October 26-28
Isla Grand Beach Resort
South Padre Island, Texas 78597
 
 

Please type or print the information below.  The exhibitor registration fee is $790 for one 8’ x 8’ booth, and $1,380 for one 8’ x 16’ booth.  Make your checks payable to: AMERICAN ASSOCIATION OF ZOO VETERINARIANS (AAZV).  Mail payments and registration forms to:  AAZV Conference Registration Office, P.O. Box 924, Roswell, Georgia 30077-0924, USA. 
 

Company Name ____________________________________________________________________________________ 

Company Contact __________________________________________________________________________________ 

Address ___________________________________________________________________________________________ 

City ________________________________   State ______________________   Zip + 4 _________________________ 

Telephone __________________________   FAX _________________________   Email ________________________ 
 

Booth:  8x8_________________________   8x16__________________________

  (Please indicate at least three choices in order of preference.) 
 

Product Line:

      Pharmaceuticals/Biologicals  _____  Lab Instruments/Supplies  _____

      Medical/Surgical Supplies  _____  Foods, Nutritional Products  _____

      Surgical Instruments/Supplies  _____  Diagnostic Devices   _____

      Management/Computer Services  _____  Imaging, X-Ray Equipment  _____

      Books, Tapes, Education   _____  Other ___________________________________ 
 

Representatives attending meeting (indicate name for badge): 

1. _____________________________________________     2. ______________________________________________ 

3. _____________________________________________     4. ______________________________________________

(Please identify representatives, who are current members of the AAZV, or ARAV with an asterisk.)  

By signing this form, the undersigned agrees to comply with all of the policies and regulations listed above of the hotel, the AAZV, and the ARAV. 
 

__________________________________________________          _____________________________

   Signature of Authorized Company Contact      Date

 

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