2012 Annual Meeting & Exhibition - Society for Industrial Microbiology
2012 Annual Meeting & Exhibition - Society for Industrial Microbiology
2012 Annual Meeting & Exhibition - Society for Industrial Microbiology
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SIMB Corporate Member Application<br />
<strong>Society</strong> <strong>for</strong> <strong>Industrial</strong> <strong>Microbiology</strong> and Biotechnology<br />
<strong>2012</strong> <strong>Annual</strong> <strong>Meeting</strong> & <strong>Exhibition</strong><br />
<strong>Meeting</strong> dates: August 12-16, <strong>2012</strong> • Show dates: August 12-15, <strong>2012</strong> • Washington Hilton • Washington, DC<br />
SIMB offers three levels of corporate membership.<br />
Bronze level at $700, provides the following benefits:<br />
• Discount on exhibit space <strong>for</strong> your company<br />
• One regular SIMB membership <strong>for</strong> a representative with subscriptions to SIMB News and JIMB<br />
• Reduced rates on advertising in SIMB News, plus a free corporate profile in one issue.<br />
• Availability of the SIMB membership mailing list at a reduced cost (20% off)<br />
• Free announcements of contracts awarded, new products or publications & personnel changes listed in SIMB News (50 words or less)<br />
• Recognition in every issue of SIMB News and JIMB<br />
• Company link and description included on the corporate membership page of SIMB’s website (50 words or less)<br />
• Discounts on job postings in SIMB’s online career center<br />
Gold - $1200, includes Bronze level benefits plus<br />
• Two additional full exhibitor registrations with banquet ticket (total 3)<br />
• One additional regular SIMB membership (total 2)<br />
• Company logo included on the corporate membership page on SIMB’s web site<br />
• Three free uses of the SIMB membership mailing list (and 20% discount on additional mailing lists)<br />
Diamond - $2000, includes Gold level benefits, plus<br />
• One additional full exhibitor meeting registration with banquet ticket (total 4)<br />
• One free Exhibitor Showcase (10 minutes) at <strong>Annual</strong> <strong>Meeting</strong><br />
• One $500 credit toward an ad placement (Ad placement cost must be at least $500 be<strong>for</strong>e credit can be applied)<br />
• Company logo and link added to rolling display on SIMB's homepage<br />
Our company will join SIMB as a corporate member in the following category:<br />
Bronze, $700 Gold, $1200 Diamond, $2000<br />
Name of Company:<br />
Company website:<br />
Authorizing officer who is to receive<br />
all billing in<strong>for</strong>mation:<br />
Name ____________________________<br />
Title _____________________________<br />
Address __________________________<br />
_________________________________<br />
City, State, ZIP_____________________<br />
Country___________________________<br />
Tel _______________________________<br />
Fax _______________________________<br />
E-mail ____________________________<br />
RETURN APPLICATION WITH<br />
PAYMENT TO:<br />
SIMB<br />
3929 Old Lee Highway, Suite 92A<br />
Fairfax, VA 22030<br />
T: 703.691.3357 ext. 23<br />
F: 703.691.7991<br />
Email: membership@simhq.org<br />
Company representative who will<br />
receive membership:<br />
Name ____________________________<br />
Title _____________________________<br />
Address __________________________<br />
_________________________________<br />
City, State, ZIP_____________________<br />
Country___________________________<br />
Tel _______________________________<br />
Fax _______________________________<br />
E-mail ____________________________<br />
____ Please do not send me SIMB<br />
in<strong>for</strong>mation via email.<br />
____ Please do not include me on any<br />
SIMB mailing lists.<br />
____ Please do not include my in<strong>for</strong>mation<br />
in the SIMB online membership<br />
directory.<br />
Please select a delivery method <strong>for</strong> JIMB.<br />
NOTE: SIMB News is availalbe online only.<br />
____ Print copy via post office<br />
____ Online only access<br />
Additional company representative<br />
(Gold and Diamond Only):<br />
Name ____________________________<br />
Title _____________________________<br />
Address __________________________<br />
_________________________________<br />
City, State, ZIP_____________________<br />
Country___________________________<br />
Tel _______________________________<br />
Fax _______________________________<br />
E-mail ____________________________<br />
____ Please do not send me SIMB<br />
in<strong>for</strong>mation via email.<br />
____ Please do not include me on any<br />
SIMB mailing lists.<br />
____ Please do not include my in<strong>for</strong>mation<br />
in the SIMB online membership<br />
directory.<br />
Please select a delivery method <strong>for</strong> JIMB.<br />
NOTE: SIMB News is availalbe online only.<br />
____ Print copy via post office<br />
____ Online only access<br />
PAYMENT (SIMB Federal ID# 35-6026526)<br />
Total Amount: $______________ Invoice my company Check (Payable to SIMB) Credit Card<br />
VISA MC AmEx #____________________________________ Exp. date: __________ Security Code: __________<br />
Card holder’s name (print): ____________________________ Signature: ___________________________________________<br />
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