Mail to:
Diversified Conference Management, Inc.
4020 W. Phantom Horse Place • Tucson, Arizona 85658
(520) 744-6076 or (800) 458-2535   
Fax: (520) 744-6092
Fax for Registrations Only: (734) 253-2679
E-mail: dcmi@comcast.net

 

Please print out the form below, fill out, and either mail to the above
address, fax back, or submit on-line.

Company Name (as it should be published) Mailing Address City, State, ZIP Name of Exhibit Contact Telephone Number Fax Number E-Mail Address   Booth Size: 6 ft. Table Covered and Draped If possible, I wish to be located near the following companies:   If possible, I do not wish to be placed near the following companies:   Applicants Authorized Signature   Title Cost of Exhibits: $6,000.00   DCMI Authorized Signature   Date     Home | About Us | Contact Prostate | Faculty | Agenda | Information | Exhibit Application | Hotel | Registration Copyright ©2001. All Rights Reserved. Last Revised 10-21-09