26th Annual International Conference on Soils, Sediment, Water and Energy - Exhibitor Application Brochure

APPLICATION FOR EXHIBIT SPACE 26th Annual International Conference on Soils, Sediments, Water, and Energy October 18-21, 2010, University of Massachusetts at Amherst Conference Directors: Paul T. Kostecki, Ph.D., Edward J. Calabrese, Ph.D., Clifford Bruell, Ph.D. Booth Size: 8’ by 10’ Booth Preference(s):__________________ Rental Fee: $1195.00 per space Space is Limited. Please list multiple choices. ____Booth Space(s) @ $1195.00/space = $________ ____Supporter Booth Space(s) @ $600.00/space = $_________ ____Sponsor Booth Space @ No Charge ____Tabletop @ $650/Table = $_________ Electrical (110v) outlet included at no charge Please print or type company information as it should appear on conference literature. Company Name: ______________________________________________________________________________________ Address:_____________________________________________________________________________________________ City:________________________________________ State:__________________ Zip Code:_________________________ Telephone:___________________________________ Fax:____________________________________________________ Contact Name:________________________________________________________________________________________ Contact Email:__ ___________________________________WEB Site: __________________________________________ General Email (to include in directory): ___________________________________________________________ Please give a brief description of the nature of your business and the products/services to be displayed. This information will be included in an Exhibitor Directory distributed to conference participants. Description may be emailed to brenna@aehsfoundation.org _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ PAYMENT INFORMATION (check or credit card accepted) Payment by check (checks payable to AEHS Foundation, Inc.) Tax ID # 26-2624347 Visa MasterCard American Express Discover Card Number ___________ Expiration Date Cardholder Name_________________________________________________________Date_____________________________ If your company is interested in becoming a Supporter or Sponsor of the 2010 Conference, please contact Brenna Lockwood at 413-549-5170 or brenna@aehsfoundation.org Exhibit space is limited. We recommend that you send your registration form and payment early to reserve your location of choice. Indicate more than one location choice as we do give priority to Conference Sponsors and Supporters. Otherwise, booth assignments are made on a first come, first serve basis. Cancellation of reserved booth spaces received on or before August 24, 2010 will receive a full refund minus a $50 processing charge. There will be no refunds for booth spaces canceled after August 24, 2010. Return form with full payment to: Brenna Lockwood, AEHS Foundation, Inc., 150 Fearing St., Suite 21, Amherst, MA 01002, 413-549-5170 P, 413-549-0579 F, or scan to brenna@aehsfoundation.org