Institute
for Scientific Exchange, Inc.
Exhibitor Form
Select Program: (place check on choices)
1.) DDI-2009: 12th International Conference on Drug-Drug Interactions: DDI Biologicals, Transporters and other relevant topics
2.) ETS-2009: 8th International Conference on Early Toxicity Screening
Tentative location and dates: June 2009, Seattle, WA, USA at the Red Lion Hotel on Fifth Avenue, Seattle, WA, USA
3.) CIDD-2009: Critical Issues in Drug Development
Tentative location and dates: Santa Fe, New Mexico, USA; July 2009
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) ____________________________________
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