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VasTech
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User Group
VasTech User Group Registration
Personal Information:
Enter the information below and click on the ‘next’ button.
Name:
Company/Facility:
Please choose one:
Client
Partner
Potential Client
Other
Position
Address 1:
Address 2:
City:
State:
Zip:
Phone number:
Fax:
Email:
Please select menu preference:
Regular
Kosher
Vegetarian
Food Allergies:
Please indicate if VasTech may include your contact information in the conference directory:
Yes
No
Additional attendee(s) to register ($795/Attendee):
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Additional guest(s) for the Cocktail Reception on June 2nd and Dinner on June 3rd ($100/Guest):
0
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Payment Method:
Invoice
© 2007, VasTech Inc. | 888 Bestgate Road | Suite 310 | Annapolis, MD 21401 | Phone: 410-897-9880 | Fax: 410-897-9885