SCIENTECH Symposium is being held January 17-20, 2012 at the Sheraton Sand Key Resort in Clearwater Beach, Florida.
Registration fees are due ten days prior to the symposium.
Please provide the following contact information:
Name *
Title *
Organization *
Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code *
Country
Work Phone *
FAX
E-Mail *
Are you interested in attending the workshop sessions on Tuesday January 17, 2012 prior to the Symposium?
Yes No
Payment Method
by purchase order by credit card by check
Please provide details of any specific needs.
