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COLLEGE OF PHARMACY
 
 
 
Online Registration
seporator

Fall 2009 Career Fair
October 5-7, 2009

If you prefer to download, print and mail your registration click here (pdf).


Company's Name: *
Address:: *
:
City: *
State: Zip Code: *
Phone - - *
Fax:  - -
Email: *

Representative(s) Planning to Attend

Name:  Title: 
Name:  Title: 

 

 

Yes, I will participate,  initial fee $1000.00
No, I will not participate
Payment will be sent by September 10, 2009
Extra meal tickets @ $40.00 each
Extra booths @ $500.00 each

 

Please send payment to:

Sheryl W. Rodriguez
Xavier University of Louisiana
College of Pharmacy
1 Drexel Drive
New Orleans, LA 70125
(504) 520-7500 or 520-7407
(504)520-7930 (fax)

**Make checks Payable to Xavier College of Pharmacy

By checking this box, your reservation will be confirmed and you will be responsible for charges as designated above.

 
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