SCMS Exhibitor Form

Organization / Company / Institution / Press*

Contact*

First NameLast Name

Email*

example@example.com

Phone Number*

Country CodeArea CodePhone Number

Please include the email address(es) of anyone else at your Organization / Press / Company who should receive information about the SCMS conference.

Additional Email 1

example@example.com

Additional Email 2

example@example.com

Additional Email 3

example@example.com

CheckCredit Card

Additional Tables Information
Any single exhibitor who purchases 3 tables at full price may purchase additional tables at half price. If you would like to purchase more than 3 tables, please write in the number of additional tables below.

Types of Exhibits Space

Full Tables/s

(per table for the duration of the conference)

$650.00 Quantity

Unmanned Table/s

(non-staffed, full table, for the duration of the conference)

$650.00 Quantity

Joint Table/s

(non-staffed, up to 3 titles, please see details on exhibitor info page)

$350.00 Quantity

Additional Tables

(any single exhibitor who has purchased 3 full-priced tables)

$325.00 Quantity

Additional Exhibitor Registration

$160.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Full Tables/s—$650 USD (per table for the duration of the conference)Unmanned Table/s—$650 USD (non-staffed, full table, for the duration of the conference)Joint Table/s—$350 USD (non-staffed, up to 3 titles, please see details on exhibitor info page)Additional Tables—$325 USD (any single exhibitor who has purchased 3 full-priced tables)Additional Exhibitor Registration—$160

Quantity of Full Tables

Quantity of Unmanned Tables

Joint Table

Quantity of Additional Tables

Quantity of Additional Exhibitor Registrations

Total Amount Due

Name of Person(s) Who will Staff the Exhibit