Vendor Online Registration

North Carolina Society of Histotechnology

Welcome
MEET THE NCSH OFFICERS
Become a Member
2019 Spring Meeting
VENDORS
Tarheel Histo News
Job Opportunities
Awards and Scholarships
Store
- NCSH T Shirt
SCHOOLS & PROGRAMS
Members Only
Call for Delegates

Fill out the information below to send your information electronically.
Please read the information above before filling out form

* Indicates required field

Vendor/Company *

1st Representative *

First

Last

2nd Representative *

First

Last

[object Object]

3rd Representative *

First

Last

[object Object]

Preferred Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Number of Tables Requested. *

1 Table @ $500 2 Tables @ $900 3 Tables $1150 Unmanned Table @ $300

Number of Electrical Outlets Needed. One is complimentary. There is a charge of $25 for each additional) *

Please List Special Request(s) *

Sponsorship Opportunities:

I will sponsor or assist with a coffee break: *

Not At This Time $250 $350 Other Amount

Amount Not Listed *

I will sponsor a speaker (cost of lodging and travel): *

Yes No

**The Society will compliment (1) vendor table for speaker sponsorship

Amount *

I will assist with or sponsor the "Wine and Cheese Reception" 5-7pm Friday, April 5, 2018 *

I will sponsor the reception I will assist with the reception I will both sponsor and assist with the reception Not at this time

Amount *

Complimentary Luncheon Tickets (only 2 per table)

Attending Friday's Luncheon (two complimentary): *

Yes No

Attending Saturday's (two complimentary): *

Yes No

# of additional tickets for Friday($30 per ticket) *

# of additional tickets for Saturday ($25 per ticket) *

Total Vendor Registration Payment

Tables Amount *

Sponsorship Amount *

Lunch Ticket Amount *

Grand Total *

I agree to receiving marketing and promotional materials

Submit

* You have not completed submission*
Please click on the "To Go To Paypal" button below
This button will take you to the membership renewal page. You do not have to become a member. At the bottom of that page, you will see the PayPal icon. Click there to be directed to the secure NCSH PayPal interface and complete your payment.

When submitting payment, please write in the description the name of your company and Vendor Registration. Thank you.

To Go To Paypal

Welcome
MEET THE NCSH OFFICERS
Become a Member
2019 Spring Meeting
VENDORS
Tarheel Histo News
Job Opportunities
Awards and Scholarships
Store
- NCSH T Shirt
SCHOOLS & PROGRAMS
Members Only
Call for Delegates

Fill out the information below to send your information electronically.Please read the information above before filling out form

Complimentary Luncheon Tickets (only 2 per table)

Total Vendor Registration Payment

Fill out the information below to send your information electronically.
Please read the information above before filling out form