Institute for Scientific Exchange, Inc.

Exhibitor Form

 

Select Program: (place check on choices)

Two Events/One week/One Location

DDI-2010: 13th International Conference on Drug-Drug Interactions: A Comprehensive Conference on Drug-Drug Interactions

June 15 – 16, 2010

Pre-conference Workshop: Higher throughput evaluation of DDI

June 14, 2010

Red Lion Hotel on Fifth, Seattle, WA, USA

 

ETS-2010: 8th International Conference on Early Toxicity Screening:  Mechanism-based Evaluation of Adverse Drug Effects

June 17 – 18, 2010

Red Lion Hotel on Fifth, Seattle, WA, USA 

 

      

Exhibitor Contact Information:

 

Dr. _______Mr. _______Ms._______         Name: ____________________________________________________________

 

Title: ____________________________________          Institution___________________________________________________

 

Address: __________________________________________________________________________________________________

 

___________________________________________________________________________________________________________

 

Telephone: ____________________________________________Fax:______________________________________________

 

E-mail:_____________________________________________________________________________________________________

 

 

Exhibit Space: Dimensions: 10’ maximum per space. Please indicate the size of your exhibit booth.  (i.e. six-foot table-top; free standing pop-up booth) ____________________________________

 

One exhibit registration: SEE EXHIBITOR REGISTRATION FEE SCHEDULE

 

DDI / ETS-2010 Registration Fee Schedule

 

Event Name

Registration Fee

Registration Fee

Exhibitor Fee

Until May 14, 2010

After May 14, 2010

Pre-Conference

$ 450.00

$ 500.00

$ 1000.00

DDI-2010

$ 1200.00

$ 1500.00

$ 2000.00

ETS-2010

$ 1200.00

$ 1500.00

$ 2000.00

PC + One Conference

 $ 1550.00

$ 1750.00

$ 2700.00

Both DDI & ETS-2010

 $ 1750.00

$ 2000.00

$ 3200.00

All Three Events

$ 2000.00

$ 2500.00

$ 3500.00

 

ALL PRICES ARE SHOWN IN US FUNDS

 

 

Number of Spaces Required: ________

 

Check or               Credit Card: (circle one)                    MasterCard                          Visa                       American Express 

 

Name on Credit Card: _______________________________________________________

 

Credit Card #:___________________________________________ Expiration Date: _________________

 

Sponsorship Opportunities: (check one) **Cost to be determined by menu choices**

Breakfast                             Lunch                                  Dinner

 

         AM Break                             PM Break                             Welcome Reception 

 

         Special Event** (i.e. golfing, tour - company choice)

 

(ISE, Inc. offers a continental breakfast, an AM and PM break if no other sponsorships are requested)

 Please contact Nola Mahaney, VP, Operations, for all details concerning hotel arrangements.

 

 

8775 Centre Park Drive - # 713 - Columbia, MD - 21045 - T: (410) 869-9166 - F: (410) 869-9560 nola@isciencex.com