Vendor Expo Registration Form // Bond Life Sciences Center

Thursday, April 16, 2020

10 a.m. – 2 p.m.

Space is assigned on a first-come, first served basis.

Tables fill quickly — reserve your space now!
The Missouri Life Sciences Week 2019 Vendor Expo will be held on Thursday, April 16, 2020, 10 a.m. – 2 p.m. in the Bond Life Sciences Center at the University of Missouri, concurrently with the Life Sciences Week Research Poster Session. We invite you to join us!

(If you have any other special requests including vendors you prefer NOT to be near, please provide in the form. Policies for payment and cancellation are found below.)

Company

Primary Contact Name

Daytime Phone

Email Address

Company Website

Additional Representatives

Do you need electricity?

No Yes

Do you need wifi?

No Yes

Do you have a large table-top display unit?

No Yes

If you have any other special requests (INCLUDING VENDORS YOU PREFER NOT TO BE NEAR), please provide details:

Additional Box Lunch Orders

$10 each. Indicate quantity in the space provided.

Roast beef sandwich

Turkey sandwich

Ham sandwich

Vegetarian Salad

Additional T-shirt Orders

$10 each. Indicate quantity in the space provided.

Small

Medium

Large

2XL

3XL

Amount Due

Full payment must be received no later than Friday, April 10, 2020.

Table fee (1 table = $400; 2 tables = $650)

$

Extra box lunches ($10 each)

$

Extra t-shirts ($10 each)

$

Total Amount Due

$

Payment Option

Credit card (MasterCard, Visa, Discover, American Express)

University policy prohibits collecting credit card information on this form for your security.

Please call Victoria Bence at the Bond Life Sciences Center Fiscal Office: 573.884.1898

Check

Make checks payable to University of Missouri

Victoria Bence

106 Bond Life Sciences Center

University of Missouri

Columbia, MO 65211

To pay via credit card, call Victoria Bence at (573) 884-1898.

For general question, contact Jeffory Reeves at (573) 884-1782 or reevesja@missouri.edu

Christopher S. Bond Life Sciences Center

University of Missouri

Thursday, April 16, 2020

10 a.m. – 2 p.m.

Table Options

Additional Box Lunch Orders

Additional T-shirt Orders

Amount Due

$

$

$

Total Amount Due

$

Payment Option

Show-Me Research Week