Business Partnerships for Mission Success: Assembling the Pieces
SBIR/STTR 2003 Fall National Conference Logo   The 2003 Fall National SBIR/STTR Conference
EPSCoR Subsidized Registration Center
Renaissance Cleveland Hotel, Tower City Center * Cleveland, OH
October 27-30, 2003

Badge Name (if different): ______________________________________________________





Selection SBIR/STTR Conference Registration Options Register By
  Full Conference $350 $425
I will attend Welcome Reception on Monday  (Full & Tuesday Conference Attendees Only)
Tuesday, October 28, 2003  (Includes Welcome Reception on Monday)
Wednesday, October 29, 2003
Thursday, October 30, 2003
Optional WorkshopsAdditional Fee Required FEE
  Workshop A: Proposal Preparation, Phase I
Monday, October 27, 7:30am-4:30pmIncludes Continental Breakfast, Lunch & Materials.
  Workshop B: Proposal Preparation, Phase II
Thursday, October 30, 12:30pm - 4:30pmIncludes Lunch and Materials.
  Workshop C: Basic Accounting for Government Contracts
Thursday, October 30, 1:00pm-4:00pm
Bonus Sessions  
  Bonus Session #1: Compliance Issues
Thursday, October 30, 2003, 1:00pm-2:30pm
  Bonus Session #2: Electronic Submission
Thursday, October 30, 2003, 1:00pm-2:30pm
Total Amount Due:  
Networking Area One-On-One TablesAdditional Fee Required
If you are interested in Networking Area One-On-One tables, please check the appropriate boxes below and a representative from the SBIR Conference Center will contact you.
 I am interested in Networking Area One-On-One Tables (Fee: $50 x # of tables)
Total Registration/Additional Workshop Fees: $
Check - Payable to SBIR Conferences
Credit Card: _____VISA    _____Mastercard    _____American Express
Note: For VISA & Mastercard only: Please enter your CV code (the last 3 digits located on the signature panel on the back of your card). CV Code:______________________
Card Number:_____________________________________________ Exp.:_______________________
Card Holder Name:____________________________________ Signature:________________________

Registrations are transferable when requested in writing. All cancellations or refund requests must be made in writing and faxed or mailed to the SBIR Conference Center. Cancellations received by October 7, 2003, will be refunded less a $50 processing fee. NO REFUNDS will be given for cancellations received after October 7, 2003, or for No Shows. Substitutions to original registrants can be made upon presentation of written authorization by the original registrant.

Please initial below. Your registration will NOT be accepted without your acknowledgement of cancellation policy.

_______I have read, understand, and agree to the terms of the cancellation policy above.

Please Answer the Following Questions:
  1. Number of Employees at your Company Location:
    ___2-5 ___6-19 ___20-49 ___50-99 ___100-249 ___250-499 ___500+

  2. Which of the following describes your main area of interest? Check ONE:
    ___BioTech___Communications ___Computers ___Electronics ___Energy ___Environmental Tech 
    Information Technologies ___Life Sciences ___Materials ___Mechanics ___Optics/Photonics 

  3. ____Please indicate if you need special assistance to participate.
    ____Do you have special dietary needs? Explain:__________________________________________

  4. Check if you are a past: ___ SBIR Phase I Winner ___ SBIR Phase II Award Winner

  5. Please check those agencies you have an SBIR/STTR award with:
    ____Department of Agriculture
    Department of Commerce:
    Department of Defense:
    ____Air Force
    ____Missile Defense Agency
    ____Department of Education
    ____Department of Energy
    ____Department of Health & Human Services
    ____Department of Transportation
    ____Environmental Protection Agency
    ____National Science Foundation

Questions? Call the SBIR Conference Center at .

Return completed forms to:
SBIR Conference Center
P.O. Box 2890
Sequim, WA 98382
SBIR Conference Center Main Page

Copyright © 2003 All rights reserved.
Last updated: 7/15/2003 9:26:25 PM
| Disclaimer | Accessibility