2025 NIH Fall Research Festival Vendor Registration - NIH

Company Name *

Company Description *

Company Logo (JPG or PNG file) *

Click or drag a file to this area to upload.

Choose File

Company Web Address *

Company Mailing Address *

Company Phone *

Point of Contact (Must Be An Individual) *

Point of Contact Email (Must Be Individual - No Generic Email) *

Point of Contact Phone *

Attendee Name *

Attendee Email *

Attendee Phone *

2nd Attendee Name

2nd Attendee Email

2nd Attendee Phone

3rd Attendee Name

3rd Attendee Email

3rd Attendee Phone

Interested In Hosting a Workshop? *

Preferred Method of Payment *

Do you have a preferred day? *

Do you require electric? There are a limited number of outlets and we will do best to work with you but no guarantees. There will be a charge of $50 for an electric request. *

Which Reps Are Local to the DC Metro Area? *

If approved to attend the NIH Research Festival, we will follow up with details to pay for the event. Do you agree? *

Yes

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