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EXHIBIT REGISTRATION FORM
2022 Ochsner Regional Neurosciences Symposium
April 21 - 23, 2022
Sheraton New Orleans Hotel, New Orleans, LA
Company Name
Contact Name
Address
Email
Phone Number
Representatives Participating in Event:
NAME
EMAIL
LOCATION:
EARLIEST SETUP:
LATEST TEARDOWN:
PLEASE NOTE THERE ARE NO MANDATORY EXHIBIT TIMES. PLEASE STAFF YOUR BOOTH AS YOUR SCHEDULE ALLOWS.
ITEMS PROVIDED
1 - 6’ skirted table
2 chairs
Wireless Internet Connection
Complimentary Conference Attendee Registrations to Event (# based on tier selected) *Conference registration includes access to: symposium agenda, admission to all main conference sessions, continental breakfast, plated lunch, and snack breaks throughout the day.
Please list any additional requirements or needs below
EXHIBIT Fee:
NO ELECTRONIC or ACH PAYMENT CAN BE ACCEPTED FOR THIS EVENT
Check
Make checks payable to Ochsner Clinic Foundation - Tax ID #72-0502505
Mail to: Ochsner Clinic Foundation Continuing Medical Education
Attention: Mimi Carruth
1401A Jefferson Highway New Orleans, LA 70121
Credit Card
You will be taken to our payment site when you click SUBMIT