TEHA Annual Educational Conference Exhibitor Form
Printable Version


 

Company/Organization:__________________________________________________________
Address:_____________________________________________________________________
City:____________________________________ State:______ Zip:__________________
Phone:_______________________________ Fax:__________________________________
E-Mail:_____________________________________________________________________
Primary Contact:______________________________________________________________
Type of Company or Product:____________________________________________________
Exhibitor Name 1:_____________________________________________________________
Exhibitor Name 2:_____________________________________________________________

Exhibitor Fee:

$300 per table for both days
$200 per table for one day (Wed.___ OR Thurs.___)
$50 electrical connection
Total Amount: $_____________________

I would like to provide one or more of the following:

I would like to help sponsor a break or Ice Breaker
I would like to contribute door prize(s)
I would like to place an ad in the program $150 half-page/$250 full page (please indicate by circling)