IBNS Exhibitor Application

International Behavioral Neuroscience Society Annual Conference

This online exhibitor application sends your information directly to the IBNS Central Office. Please contact the IBNS Central Office if you have any questions.

Please provide the following contact information:

First Name

Last Name

Title (Mr., Ms. or Dr.)

Department

Organization

Address

City

State

Postal Code

Country

Telephone

FAX

E-mail

Registrant's Name (If different from contact person)

Please indicate desired service below (check all that apply): Please note that this list represents our standard exhibiting/sponsorship packages, custom exhibiting packages and sponsorship opportunities are available upon request through the IBNS Central Office.

Full Corporate Sponsorship includes the IBNS mailing list (approx. 700 members), advertising in our Newsletter, advertising in the annual Program/Abstract booklet PLUS one registration and booth at our annual meeting--$2,000.

Standard Exhibit (three skirted tables with electrical strip outlet, chair)--$1000 per booth.

Unmanned Book Exhibit: _______ (number of books to be displayed)--$100 per book.

Abstract Booklet Advertisement: _______ (number of pages)--$150 per page.

At this point you have the option of either making an secure online payment or mailing in your payment.

Click here to submit a secure online payment

Click here to mail in a payment

Thank you for your interest and support of the IBNS.

First Name
Last Name
Title	(Mr., Ms. or Dr.)
Department
Organization
Address
City
State
Postal Code
Country
Telephone
FAX
E-mail
Registrant's Name	(If different from contact person)

IBNS Exhibitor Application

Please provide the following contact information:

Please indicate desired service below (check all that apply): Please note that this list represents our standard exhibiting/sponsorship packages, custom exhibiting packages and sponsorship opportunities are available upon request through the IBNS Central Office.

At this point you have the option of either making an secure online payment or mailing in your payment.