Auburn University Harrison School of Pharmacy
Career Day November 7, 2011
Auburn University Hotel & Dixon Conference Center

Registration Form

Company Name:

Name of company representative completing this form:

Email for company representative completing this form:

Company Mailing Address
Address Line 1:
Address Line 2:
City, State:
ZIP:

Contact Telephone: Fax:

Company Website:

Name of key recruiter contact for Career Day:

Email of key recruiter contact for Career Day:

Enter contact information for all other company representatives/interviewers attending Career Day:
Name: Email:
Name: Email:
Name: Email:
Name: Email:

Does anyone attending for your company require special accommodations or services? If yes, please describe.

Will you require electrical hook-up at your interview table?

Please indicate any special requests that you have:

Please indicate if you need an invoice sent to your email address

Note: Interviews will begin at 8:00 AM. Lunch will be provided.

REGISTRATION FEE
Early Bird Registration Deadline is Monday, October 31, 2011

One or Two Representatives Attending $500
Per Additional Representative Attending - Number: @ $150


Postmarked after October 31, 2011
Late Registration Fee
One or Two Representatives Attending $750
Per Additional Representative Attending - Number: @ $250

Make check payable to: Auburn University Harrison School of Pharmacy

Mail checks to:
Auburn University Harrison School of Pharmacy
Attn: Laurie Kenney Smith
2316 Walker Building
Auburn, Alabama 36849-5501

If you are recruiting for specific geographic locations, please specify:


Will you accept applications for Summer Intern positions?