ICANM 2015: International Conference & Exhibition on Advanced & Nano Materials August 10–12, Ottawa, Alberta http://ICANM2015.iaemm.com EXHIBITION REGISTRATION FORM Please complete the form and email a signed copy to ICANMExhibit@iaemm.com Contact Information Company Name Person in Charge Address City Province/ State Zip Code Phone Number FAX Number Email Address Website Country Products or services to be displayed http://ICANM2015.iaemm.com ICANM2015: Conference Exhibition Form Exhibitors receive:  One booth (Includes 2 chairs, a 6(f) draped table and a 1 m x 2 m Standex type Panel )  Free WiFi Internet connection  Inclusion of up to 100 word promotion text in all attendee packets  Name listing on exhibitor pages on conference webpages  Company logo on all conference programs  One complimentary full Conference access (for one person).  Networking Reception and Lunch tickets Participation Fees: CA$ 850.00 Exhibition days: August 10+11, 2015 Method of Payment: Please select your preferred method of payment. Full payment must be made within 10 days of the invoice. All prices are in Canadian dollar. Company Check Bank or Wire transfer Online Payment By signing this agreement, you agree to comply with all Exhibitions terms & conditions (Please see the conference website for full terms and conditions). Please fill out this form and send it to us at ICANMExhibit@iaemm.com Signature of Conference Exhibitor Representative Printed Name http://ICANM2015.iaemm.com ICANM2015: Conference Exhibition Form