Dental IQ

  6th Annual Napa Dental Experience

Silverado Country Club and Resort

1600 Atlas Peak Rd, Napa CA 94558

March 12 -13, 2010

www.dentaliq.net

        Terms for exhibitors:

Terms for Sponsorships:

 

SPONSORSHIP AND EXHIBITOR REGISTRATION FORM

 

 

Company name                                                                                                                        

 

Address                                                                                                                                   

 

City                                            State                       Zip Code                                              

 

Contact name(s)                                                                  email:                                             

 

Contact telephone #                                                       Fax #                                                        

 

Representative(s) staffing exhibit                                                                                                 

 

Sponsorship level desired: ______________________________________

 

Exhibitor space desired: (1 space = 1 6ft table) __________________________________

 

Other requests: (we will contact you to discuss these details) ________________________________

 

Group room rates are available by calling Silverado Country Club and asking for the Dental IQ rate. 707-257-0200

·          Availability is limited and on a first-come, first-served basis. To reserve your place, complete this form and return it with payment no later than January 20, 2010 to:

Dental IQ/ Lory Laughter RDH, BS

1683 Pear Tree Ln

Napa, CA 94558

(707) 265-8468

Email: lorylaughter@dentaliq.net