ACUMS - Vendor Registration Form

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VENDOR REGISTRATION FORM

Dartmouth

Dartmouth College, Hanover, NH
Fall Conference
October 24-26, 2011

REGISTRATION DEADLINE: October 18, 2011
Exhibitor Show is on Tuesday, October 25, 2011

Names: * (list all names)

Company:

Address 1:

Address 2:

City: State: Zip:

Phone Number:

E-Mail: *

Set-up Requirements

Electricity
Internet Access
Table

Will bring own booth?
Yes No

Please make payment of $350 for each booth area (plus $200 if an additional space is needed) payable to ACUMS and address to:
ACUMS
c/o Karen Serbonich, Manager Mail Services
Ithaca College
953 Danby Rd.
Ithaca, NY 14850-7002

Registration Options:

Conference Registration: $350
Additional Space: $200
Unable to Attend but Will Send Literature/Sample Display: $150

Addtional Sponsorship Opportunities: (check if applicable)

Tuesday Night Banquet/Cocktail Hour $400 (includes dinner for the vendor plus 1 guest—2 total)
Lunch/Coffee Break Sponsorship: $75.00 (includes recognition at your booth and at break)
Additional Lunch $15 (2 are included in the $400 fee inclusive of additional space fee)

Registration Fee:

The Awards Banquet will be a buffet.

Questions? Call Karen 607-274-3332 or e-mail kserbonich@ithaca.edu

Total Due: $

* Required Fields