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VENDOR PROSPECTUS

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EXHIBITOR<br />

REGISTRATION<br />

First Name:<br />

Phone:<br />

Date:<br />

PRIMARY CONTACT<br />

Last Name:<br />

Email:<br />

Signature:<br />

Company:<br />

Address:<br />

Prov/State:<br />

Phone:<br />

Name:<br />

Name:<br />

Name:<br />

Name:<br />

CORPORATE INFORMATION<br />

Country:<br />

City/Town:<br />

Postal Code/Zip:<br />

Fax:<br />

<strong>VENDOR</strong> STAFF REGISTRATION<br />

Name:<br />

Name:<br />

Name:<br />

Name:<br />

CORPORATE MEMBERSHIP OR EXHIBITOR REGISTRATION<br />

Existing corporate members continue to next section.<br />

Platinum Membership: $15,000<br />

Gold Membership: $10,000<br />

Silver Membership: $7,500<br />

Bronze Membership: $5,000<br />

Exhibitor:<br />

$3,200 (Book by June 15 and save 50% per booth!<br />

Only fill in section below If you would like to become a corporate member<br />

Please state the interest your company has in medical device reprocessing and how a corporate membership with<br />

CAMDR will be mutually beneficial:

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