PharmaSUG 2010 Exhibitor/Sponsor Application

If you would like to fill out a paper application form instead of submitting the application online, click here.

Fields marked with a * are required.

Contact information:

Company Name * As you would like it to appear in PharmaSUG publications and signs
Contact Name *
Contact E-mail *
Contact Phone
Contact Address
Company's website link (for website acknowledgment)
2nd Contact Name
2nd Contact Phone
2nd Contact Email

*Your interest:

(You MUST select at least one option)

Exhibitor booth ($2000, free for Platinum Sponsor, 50% off for Diamond Sponsor)

The Exhibitor room layout will be finalized and posted soon. Once the Exhibit room layout is finalized, the participants will be offered a booth preference choice on first-come-first-serve basis, in the order payment was received.

Sponsorship:
Specify level and preferred event choices (for event choices, download this MS Excel file - opens in new window)

Platinum ($6000) Diamond ($4000) Gold ($3000) Silver ($2000) Bronze ($1000)

1.
2.
3.

Please review payment information below this form!

Payment and Contact Information:

Checks: should be payable to PharmaSUG and mailed to Margaret Hung (see address below)

Credit card payments:
We can only accept credit card payments over the phone or by fax. Please call Margaret or Freddie (phone numbers below)

Payments are non-refundable.

Questions?
Please contact Margaret or Freddie:

Margaret Hung
Hung Consulting LLC
421 New Parkside Drive
Chapel Hill, NC 27516
Phone: (919) 423-1928
Fax: (919) 951-1855
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Freddie P. Paino
Quintiles, Inc.
6700 W. 115th Street
Overland Park, KS 66211
Phone: (913) 708-6553
Fax: (913) 708-6406
e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

PharmaSUG’s Tax ID Number is: 56-1979831

Last Updated on Friday, 08 January 2010 16:41

Menu