This form is for AIMSVAR Members only, exhibitors have a separate form! Name * Title * Email Address * Phone Number * Business Name * Billing Address (include street, city, state and zip code) * Preferred method of communication? * EmailPhone Please list any special dietary or health requirements. Attendees and Guests Number of Attendees ($250.00 per attendee) * 12345 Please list each attendee name on separate lines below.* Number of Guests ($100.00 per guest) * 012345 Please list each guests name on a separate line below. Number of Event Attendees ($30.00 per person, optional event October 6) * 012345
