Search Institute
Exhibit Booth Application and Contract
2009 Healthy Communities Healthy Youth Conference November 5 – 7, 2009 Cincinnati, OH
Contact Information
Organization:
*
Name of On-Site Contact:
*
Mailing Address:
*
City:
*
State/Province:
*
Zip Code:
*
Country:
Phone:
On-Site Phone (cell):
*
Web Site:
Email:
*
Size and Cost of Exhibit Space
(8'd x 10'w is standard but multiple booth spaces may be purchased)
Number of Booths Required:
*
1
2
3
4
If you require more than 4 booth spaces please contact Stephanie, 1-800-888-7828 ext 557
Price Requested:
*
$550 rate
$300 rate for Non-profits
$0 rate for Partners
Do you desire to have material on the take-one brochure table? ($75):
Yes
No
A take-one brochure table is an unmanned opportunity to have 300 copies of up to 2 pieces available for participants to pick-up
Do you desire to host a table during the Ideas That Cook session?:
Yes
No
The Ideas That Cook session is a specific time for participants to interact with you at an individual table
Total Payment:
*
Type of Payment:
*
Check (payable to Search Institute and mailed to:Search Institute 615 First Ave. NE Suite 125, Minneapolis, MN 55413)
Credit Card (we will contact you to obtain this information)
Please provide a 25 word or less description of your organization to be used on HCHY.org and in the conference guide:
*
Please list the products and services you intend to exhibit:
*
What would you desire a two-line standard sign to read:
*
By submitting this form, you are ensuring payment to Search Institute by November 1 for the organization listed above
No refunds after August 1, 2009
Payment in full is due by November 1, 2009
If you have any questions, please contact Stephanie at stephanied@search-institute.org or 1-800-888-7828 ext 557
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