65th Annual Brennemann Memorial Lectures


Disney Paradise Pier® Hotel, California

September 11-14, 2008

los angeles pediatric society
PO Box 4198, Torrance, CA 90510-4218
(310) 328-2036
Fax (310) 533-1315 — email: meosborne@lapedsoc.org

EXHIBITOR'S APPLICATION

PLEASE PRINT OUT THIS FORM and mail to the address at top.
Your reservation will be prompty acknowledged.

Firm Name  
Street  
City State Zip  
Phone  
E-Mail  
   
Person to contact regarding your exhibit space: (If different)
   
Name  
Street  
City State Zip  
Phone  
E-Mail  
     

An exhibit space will be reserved for the above-named firm in the meeting area of the Disney Paradise Pier® Hotel. Please note any special requirements that your exhibit will need other than nominal furniture. Please advise if you need an electrical outlet.

  
     
Select One
(See exhibitor's Fact Sheet)		 Plan "A" ($850)
 
  Plan "B" ($2000)  
  Plan B is an unrestricted education grant in support of the meeting.  
You will be advised later of the details of your exhibit area and of any special consideration your exhibit may require. Acceptance of participation does not imply or accept endorsement of your product. For additional information, please call Barabara Carr at (310) 540-6240.

Your check should accompany this application. LAPS regrets that credit cards cannot be accommodated at this time.