Participant Information

Company/Organization

Contact Name (preferred on name tag)

       Please note: Nametags will be required at all meetings and meals

Address

City/State/Zip

Phone Fax

E-mail

Payment Information

Display Options:

$385 - Reserved draped table (8')*

$385 - Reserved outside space (display area equivalent to two car stalls) *

$585 - Combined table & outside display *

$200 - Government/University space (promotional)

* Includes one conference registration, value of $140.  Each additional conference registration for vendor representative available for $50

$50 - Additional Conference Registration

Please list add'l vendor rep's name (if applicable, whether purchasing add'l conference registration or simply helping attend your display)

Sponsorship Options:

$200 - Partial break sponsor

$100 - Sustaining membership (minimum $100 donation)

For information on sponsoring an entire break, please contact Rick Waitley at 208-888-0988

$Total Sponsorship/Donation

Gift Basket (list item, if applicable): 

Total due $