PRSH Exhibit Registration Form-Corporate Check

Puerto Rico Society for Histotechnology
XVI Histotechnology Symposium
Exhibitor Registration Form
January 30, 2027
Fed. Tax ID: 66-0671870
Company Name:
Address:

Address 1

Address 2

CityState/Province

Zipcode
Contact Person:
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Email Address
example@example.com
Representatives Attending the Meeting
Contact Phone Number for Lead Representative Attending

Area CodePhone Number
Display Type:
Please indicate type of display. (All displays that rise above the table top will be placed up against the outside wall as not to block other exhibitors.)
My Products
prevnext( X )
Exhibit Booth (any Size)$800.00

Standard Table display with skirting with 2 lunch tickets$500.00

Additional table with skirting (No lunch ticket)$100.00

Quantity

Unmanned display only @ $100, plus $50 setup fee (No banquet ticket)$150.00

Additional Lunch Ticket$15.00

Amount

I would like to sponsor the Welcome Breakfast$1,700.00

I would like to be sole sponsor of the morning break$950.00

I would like to be sole sponsor of the afternoon break$950.00

I would like to sponsor the Award Luncheon Event. $2,800.00

I would like to make a donation to the society for the event$1.00
Enter donation amount below. Donations will be used to help with cost of the symposium.

Enter Donation Amount

Total $0.00
Send check payable to:

Puerto Rico Society for Histotechnology

Mail to:

PRSH
Calle Cisne # 489
Camino del Sur
Ponce, PR 00716
Should be Empty:

My Products