Company Name (required)

Contact Name (required)

Your Email (required)

Office Number (required)

Cell Number

Website

Please provide a brief description of your organization (required)

Description of table top presentation/display (required)

What value/benefit will you be providing to the attendees? (required)

Will you have additional staff? If yes, you understand the fee for a second person is $59 if paid by February 29, 2012 ($85 after 2/29/2012).
 Yes, I will require 1 additional staff person No, I will not require additional staff

Do you require electricity? There is a $25 fee for electricity and it is available on a first come, first serve basis.
Yes, I will require electricityNo, I will not require electricity