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2012 IAO Annual Meeting April 19-22, 2012 - San Juan, Puerto Rico U.S.A. Exhibit Booth Request
Exhibit booths requests are granted on a first come, first served basis and are not held until payment is received. Therefore, completing this form does not guarantee an exhibit booth space. Once you submit this form you will be contacted for payment if space permits and will be given five days to return payment before the hold on your booth is forfeited.
*All Information with an "*" will be in the 2012 IAO Annual Meeting Program
*Company Name:
Contact Name:
Contact e-mail:
*Company Address 1:
*Company Address 2:
*Company City:
*Company State/ Province:
*Company Zip/ Postal Code:
*Company Country:
*Company 800 Number:
*Company Phone:
*Company Fax:
*Company Website:
I would prefer not to be next to:

International Association for Orthodontics (IAO)
750 N Lincoln Memorial Dr., #422
Milwaukee, WI 53202 U.S.A.
+414.272.2757 ● Fax: +414.272.2754 ● WorldHeadquarters@iaortho.org