Registration is $95. The registration fee covers the cost of the conference, materials, social hours, and luncheon. The mailing address for your check is listed below.

(Company)

(First Name)

(Last Name)

(Position)

(Email)

(Address 1)

(Address 2)

(City) (State) (Zip)

(Phone)

Method of Payment:

Purchase Order / Invoice (PO Number - You will receive an invoice from Midland Scientific)

Check

Credit Card (Please Call Midland Scientific at (402) 346-8352 to Make Payment)

(Comments)