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EXHIBITOR REGISTRATION FORM 18th Annual National Health Benefits Conference & Expo (HBCE) February 3-4, 2009 Tampa Convention Center,Florida |
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| EXHIBITOR FEES: $1,895 for 10'x10' carpeted space, draped table, chairs, etc., if paid by June 30, 2008. $1,995 later. Registration also includes 2 full paid Conference registrations.* Exhibits are adjacent to meeting rooms. All food & beverage served in the Exhibit Hall. |
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| Company Name______________________________________________________________________________________________________________________________________ Two registrants* if known (name & title)____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________ Address (for correspondence)___________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________ Contact Person (if different from above)___________________________________________________________________________________________ Phone:_______________________________________________________Fax__________________________________________________________ E-mail(s):___________________________________________________________________________________________________________________ Please make CHECKS payable to: or pay by CREDIT CARD and mail or FAX to: 941-484-1410 Health Benefits Conference & Expo Credit Card: ( circle or check) MC___ VISA___ AMEX___ CardNo.___________________________________________ Send to: 500 The Esplanade, Ste. 205 Venice, FL 34285-1533 Exp. Date__________________Total $__________________ Phone: 941-484-1430 Signature__________________________________________ Fax: 941-484-1410 Name on Card _____________________________________ E-mail: info@HBCE.com *All Other Staff from your Company may attend @ $195 each. THANK YOU FOR YOUR PARTICIPATION AND SUPPORT RETURN TO HOME PAGE |
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