7th Annual Midwest Inventors Conference

9am-2pm 1/21-22/2005  at Anheuser Busch School of Law, Washington University in St. Louis

To pre-register by mail, print this form and mail your payment as noted.  $50 is an incredible bargain considering the average hourly charge for our speakers is $300 per hour and you will be getting about 10 hours of their time, which would cost you $3000.00 if you could even meet with them.  Most conferences of this quality charge at least $199.00, but we are a non-profit organization and want you, the beginning inventor, to get the best advice in order to make the best decisions for the future of your commercialization of your idea.  If you want to know what to do with your invention, this will be the most productive 2 days you could spend and the very best way to learn how to proceed to turn "Ideas Into Income, the Right Way."

To register by fax, print this form, fax the form to us and mail a check (reg. effective when check clears) or pay by PayPal (www.paypal.com) to beb@burdlaw.com (registration effective upon receipt of electronic payment. 

 Name ____________________________________________        

Title _________________________________________________________________

Company _____________________________________________________________

Address ______________________________________________________________

City ________________________________ State _________ Zip Code __________

Tel __________________ Fax _________________ E-Mail ____________________

  PAYMENT---Amount Enclosed-------------------------------------$_________________

___ (#) Admission(s) @$40 Each---------------------$_________________ (Do you want to have $15 of your fee applied to membership in the Illinois Innovators & Inventors, Inc. or Midwest Inventors Club at no additional charge   YES_____  NO ______.  If you do not indicate, YES will be assumed.)

___(#) Exhibitor Tables @ $20 Each-------------$____________

(Describe your Exhibit ________________________________________ and list any special needs such as power, water, tablecloth, etc.

 _______________________________________________________________________________________________________________)

Enclosed Check Number ___________---------------Total $________________

Conference Website http://ilinventor.tripod.com/conf.htm

Mail reservation to and make check payable to:      

ILLINOIS INNOVATORS & INVENTORS, INC.

Att: Bruce E Burdick, Treasurer

3656 Western Ave., Alton, IL 62002-3156

e-mail MIC@burdlaw.com

telephone Mr. Bruce E. Burdick, Treasurer

618-462-3450

fax 618-462-7132