National Fall SBIR/STTR Conference
Sheraton Burlington Hotel & Conference Center
Burlington, VT
October 28-31, 2002
Print & Fax/Mail Back Registration Form


Badge Name: (if different)___________________________________________________________________________





Selection SBIR Full Conference Registration Register By

Full Conference
SBIR Conference registration includes all sessions, materials, meals, refreshments, and activities during regular conference hours.

$325 $375

NEW! One Day Registration Options! See "General Registration Information & Fees" section for details. All one day registrations include conference materials, all sessions, events and meals of the day.

Tuesday, Oct. 29
(Includes Monday Welcome Reception)
Wednesday, Oct. 30
Thursday, Oct. 31
  Total Amount Due:  



Exhibits & One-On-One TablesAdditional Fee Required
Exhibit Space (10'x10') is $150 in addition to Full Conference Registration
One-on-One Tables are $75 in addition to Full Conference Registration
Please check the "Networking Areas: Exhibits & One-on-Ones" section for details.

If you are interested in exhibit space or 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 Exhibit Space


I am interested in One-On-One Tables

$75 x # of tables
Sheraton Burlington Hotel & Conference Center Reservations:
Call the hotel direct at and reference the SBIR Conference. The conference rate is $119.00, Single or Double plus tax, currently 9%.

Total Registration/Additional Workshop Fees: $
Check - Payable to SBIR Conferences
*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:________________________

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:
    ___Communications ___Computers ___Electronics ___Energy ___Optics/Photonics 
    ___Environmental Tech ___Life Sciences ___Materials ___Mechanics 

  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
Questions? Call the SBIR Conference Center at .

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


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Updated 07/25/02