MSAE

Spring 2013

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2013 MSAE Mid-Year Conference Sponsor/Trade Show Registration Form (Sponsor level or Exhibit space marked on previous pages) Company Name: _________________________________________________________________________ Primary Contact Name: ___________________________________________________________________ Address: ________________________________________________________________________________ City/State/Zip: __________________________________________________________________________ _ Phone: (____) __________________________________ Fax: (____) ________________________________ E-mail: __________________________________________________________________________________ All Member Industry Partners Registrations $125 for Sponsors or Exhibitors Name: __________________________________________________________________________________ Email: __________________________________________________________________________________ Name: __________________________________________________________________________________ Email: __________________________________________________________________________________ _____ $250 Industry Partner ** Member NOT purchasing Sponsorship or Exhibit Space Name: __________________________________________________________________________________ Email: ___________________________________________________________________________________ _____ $150 Additional Industry Partner **Member NOT purchasing Sponsorship or Exhibit Space Name: ___________________________________________________________________________________ Email: ___________________________________________________________________________________ * Non-Members add $200 to all sponsorships and exhibit spaces ** Non-Members add $100 to registration fees TOTAL DUE: ________ SPRING 2013 | CONNECTIONS 17

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