BIAA-ME 2021 Conference Primary Sponsor/Exhibitor Personnel Registration

Complementary registration for sponsor and exhibitor personnel at the 12th annual conference, "Defining Moments in Brain Injury," presented by the Brain Injury Association of America – Maine Chapter (BIAA-Maine).

First Name of Sponsor/Exhibit Personel*

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Last Name of Sponsor/Exhibit Personnel*

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Title of Sponsor/Exhibit Personnel*

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Organization Name*

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E-mail of Sponsor/Exhibit Personnel*

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Phone of Sponsor/Exhibit Personnel*

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Address Type*

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Street Address*

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City*

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State*

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Zip*

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ADA Accommodations Request (Optional)

This field is required.

If you have a disability covered by the Americans with Disabilities Act (ADA) and would like to request an accommodation, please specify the request here.

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Important Notice: The health and safety of BIAA-Maine Conference attendees is our top priority. BIAA-ME is closely monitoring news related to the COVID-19 pandemic in Maine. Conference attendees will be expected to follow all state, local, and hotel guidelines related to COVID-19 at the time the conference takes place. Click here to read the COVID-19 Notice and Waiver.

Sponsor/Exhibitor personnel registration for complimentary registration(s) included with sponsorship/exhibits for the 12th annual conference, "Defining Moments in Brain Injury," presented by BIAA-Maine.

When: October 13, 2021

Where: Holiday Inn by the Bay – Portland, Maine

ADA Accommodation Request: If you have a disability covered by the Americans with Disabilities Act and would like to request an accommodation, please indicate it in the space provided.