AIM Exhibitor Registration Form

 

2013 AIM Annual Meeting Exhibitor Online Registration Form

---

Wednesday, April 17, 2013- Boston, Massachusetts

---

Please make checks payable to: Administrators in Medicine

EXHIBITOR FEE: $750

AIM Federal ID Number:  74-2329314         

Mail to:

Administrators in Medicine (AIM)
c/o Operations Management
PO Box 403
Augusta, ME 04332

Name(s) of Company Representative(s):

Dollar amount submitted with this form:

$  Fee is $750.00

The first three lines of this information will be used for your name badge:
Name:
Title:
Company:
Address:
City:
State:
Zip:
Email Address:
Telephone: