The PAO 51st Annual Meeting Exhibitor Registration Form
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Exhibitor Registration Form
Date: Friday and Saturday, June 23rd & 24th, 2017
Location: Nemacolin Woodlands Resort
1001 Lafayette Drive, Farmington, PA 15437 (866) 344-6957)
| Product: | |
| Company Address: | |
| Apt, Suite, Bldg. (optional): | |
| City: | |
| State / Province / Region: | |
| Postal / Zip Code: | |
| Company Phone: | |
| Company Email: |
Company Representative / Contact Person
| Representative / Contact: | |
| Email: | |
| Phone: |
| Yes, I will attend the President’s Party on Friday June 21 at 6:30pm | |
| Yes, I am interested in playing golf on Friday afternoon |
EXHIBITOR FEEs: GOLD $2000 SILVER $1,500 BRONZE $1000
Includes table rental and invitations to President’s Party. This includes for up to 2 sales reps. GOLD and SILVER include opportunity to address the attendees. Additional reps are $150.00 extra.
Instructions
Please contact Nemacolin Woodlands Resort directly for hotel reservations
Special PAO room rates of $299 to $429 per night depending on accommodation selected.
Rooms are based on availability.
www.nemacolin.com 1- 866-344-6957
For more information VISIT pao-ortho.org
Contact Dr. Tom Howley, PAO Ex. Director 267-329-8314 - PAOrthodontists@comcast.net
Thank you in advance for your continued support of the PAO
PLEASE USE "SUBMIT" BUTTON BELOW TO BE TAKEN TO PAYMENT PAGE
Verification
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