Vendor Registration

The Oregon State Council of Perioperative Nurses invites you to our 18th annual Mini-Congress to be held at the Salishan Spa and Golf Resort in Gleneden Beach, OR. Vendor exhibits are scheduled for June 1, 2012 from 4:00 PM to 7:00 PM. Please arrive between 2:30 and 3 PM for set-up.

Register Online or by Mail

Registration Fee is $350 per table.

You may register online by completing and submitting the following registration form. Confirmation and exhibit details will be sent to you via email prior to the conference.

If you prefer, you may download our Vendor Registration and mail the completed form to:
Beth Waterman-Hukari
9590 SW 166th Ave.
Beaverton, OR 97007

Need Additional Information?

Contact Beth Waterman-Hukari
Work: 503-413-2349
Cell: 503-758-5737(day of event)
.(JavaScript must be enabled to view this email address)

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Vendor Information

• First Name

• Last Name

• Company

• Mailing Address Line 1

Mailing Address Line 2

• City

• State

• Zip/Postal Code

• Email

• Phone

Table Request

• Number of tables

• Product Type

• Exhibit Needs (electricity, corner table, etc. - if none, type none.)

Any other consideration for your table placement?

Additional Information

How many years have you participated with OSCPN?

I wish to donate a door prize drawing.

I would like to help sponsor an event or speaker.

Comments:

• Enter the following word and number into field below.

Submit and Pay

Click the button below to complete your registration and pay securely with PayPal.