DIRECTED ENERGY PROFESSIONAL SOCIETY


 Ultrashort Pulse Laser Workshop Application to Exhibit
3-4 September 2008 Boulder, Colorado

Thank you for your support of DEPS activities. This form should be used by Ultrashort Pulse Laser Workshop exhibitors that have already submitted an application but need to supply additional information to DEPS or purchase additional exhibit-only registrations.

In addition to the required items, shown with asterisks, please supply all requested information that is relevant to your use of this form.

     
General Information *
This information, as well as Company Name, is required with each submission of this form.
 
Your Name:
Your E-mail Address:
Company Name:
Application Type: Supplying additional information for prior application.
 
Administrative Contact for Exhibit
First & Last Name:
Title:
Address:
City:
State:
Zip code:
Country:
Phone:
E-mail:
 
Each exhibit space includes one complimentary exhibit-only registration. Please identify this individuals below, completing all requested information.
 
Complimentary Registrant Data / Additional Exhibit-Only Registrants
This registrant will receive an exhibit-only registration which covers all catering but no technical sessions or benefits. You may upgrade your complimentary exhibit-only registration to a full registration for payment of an additional fee. This section can also be used to purchase additional exhibit-only registrations for your company.
 
This is the complimentary exhibit-only registrant
      ( Check here to upgrade to full registration for $250.)

This is an additional exhibit-only registrant ($200).
 
   Please check here if this is a change to staff previously submitted (no fee)
If yes, please provide name of the staff member being replaced:
 
First & Last Name:
Name for badge:
Organization:
 
Address:
City:
State:
Zip code:
Country:
Phone:
E-mail:
 
   Please check here if this registrant requires special assistance
 
Release of Information:
Registrant's personal information may be included on the attendees list, or
Only registrant's name and organization should be included on the attendees list, or
Registrant's information should not appear on the attendees list.
 
Optional Comments
You can include a note for DEPS personnel here if needed.
 
Payment Information
If your request has a fee associated with it (e.g., upgrading complimentary or purchasing additional exhibit only registrations), please indicate your method of payment.
    Submit credit card payment at this time using our secure server
    Submit credit card information to DEPS by phone
    Send check to DEPS
 
Cancellation Notice
Exhibitors requesting cancellation through 6 August 2008 will receive a full refund. Cancellations after 6 August are subject to a $200 cancellation fee. No refunds will be given after 20 August.

Please note that DEPS reserves the right to refuse any exhibit application.

Once you have completed the fields on this form, press the Submit button to process this information. You will be given a chance to review your registration prior to final submission. The Reset button will clear the entire form.

     

 
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Last updated: 3 July 2008