ENTRY DEADLINE – May 15, 2009

Step 1: Please fill out the online form and submit (button on bottom) or print a PDF and fax.
Step 2: If you are submitting logos/image or new profile please email them to actspecialprojects@advanstar.com

For internal use only, not for publication:
Bold Fields = Required Fields
Company Name:

Contact Name:

Telephone:

Fax:

Email:

DIA Booth Number:
(ACT will include this if youprovide it before May 15, 2009)

Special DIA Exhibitor Profiles section for the
45th Annual DIA meeting, June 2009

NOTE: If you are submitting a new profile, please be aware that there is a word count limit for text. For each category [Corporate Description, Major Products/Markets Served, Major Services, and DIA Information] please only include 75 to 100 words. Total word count cannot exceed 365 words. PLEASE click on the link below to see an example profile.

Company Name:

Street Address/PO Box:

City:

State:

County/Province:

Zip:

Postal Code :

Country:

Telephone:

Fax:

Email:

Website:

Number of Employees:

Date Founded:

Click HERE to see an example profile

Questions? Contact:
Kerri Nelen • 732-346-3022 • knelen@advanstar.com

ENTRY DEADLINE – May 15, 2009