Please complete the form below
on-line, print, sign, and mail your completed registration form
to:
NEDRIX P.O. Box 52120
Boston, MA 02205
or fax to 617-904-1711.
For protection of your confidential information, please do not
send registrations via email.
Type of Sponsorship*
Premier Sponsorship/$3,000
per year
Co-Sponsorship/$1,500 per conference
Event Sponsorship/price varies per conference event
For more information on the types of sponsorship, please see
our guidelines.
Conference vendor booth registration fees are a separate fee.
VENDOR NAMEas it should appear on all
references: *
Email
Billing Address
City
State / Province
Zip / Postal Code*
Country
Phone
Fax Sponsorship Contact
Address*
City*
State / Province* Zip / Postal Code* Country Phone
Fax
Please
Charge My:
Visa |
Master Card |
American Express
Card#:
Exp. Date
Name as it appears on the card:
Authorized Cardholder Signature:
PAYMENT TERMS: The full sponsorship amount
must be paid in full upon receipt of invoice. When the payment
is received in full, NEDRIX will execute vendor sponsorship
privileges. Conference registration is a separate fee.
VENDOR LOGO: If the vendor company has displayed
with NEDRIX in the past 12 months we have your company logo
on file. Please email us the company logo if the old logo
has changed or if you are a new NEDRIX vendor. The following
types of logos work best: .tif, .jpeg or .gif.
