Immunize Georgia Conference

EDUCATE, COLLABORATE, VACCINATE

Join us for the 26th Annual Immunize Georgia Conference held at the Sonesta Gwinnett Place Atlanta on THURSDAY, SEPTEMBER 12, 2019 to learn the latest recommendations and best practices in immunization services.

——————— REGISTER NOW ———————

26th Annual Immunize Georgia Exhibitor Registration

CONTACT NAME *
CONTACT NAME
EXHIBITOR NAME 1 *
EXHIBITOR NAME 1
EXHIBITOR NAME 2 (If applicable)
EXHIBITOR NAME 2 (If applicable)
TITLES AND CREDENTIALS: *
Check all that apply (both exhibitor 1 and 2)
WE WORK IN (choose one): *
Please type out your full company name, as it will be listed on your nametag exactly as written below.
PHONE *
PHONE
DAY OF CONTACT PHONE *
DAY OF CONTACT PHONE
ADDRESS
ADDRESS
DO YOU NEED ELECTRICITY? *
Please note: There is an additional $45 fee for a power strip.
T-SHIRT FOR EXHIBITOR 1 *
Please choose your t-shirt size below
T-SHIRT FOR EXHIBITOR 2
Please choose your t-shirt size below
LUNCH FOR EXHIBITOR 1 *
If you have a food allergy or special needs accommodation, please email us in advance at immunizegeorgia@golin.com
LUNCH FOR EXHIBITOR 2
If you have a food allergy or special needs accommodation, please email us in advance at immunizegeorgia@golin.com
EXHIBITOR LEVELS *
Please choose ONE of the following exhibitor levels
HOW DID YOU HEAR ABOUT US? *
Check all that apply
By checking this box, I attest that the completed information is accurate.

Immunize Georgia | 470-419-8666 | ImmunizeGeorgia@golin.com