Exhibit Application / Space Reservation Form
Please print this form and send to the address below or download this form in .pdf format by clicking here.

Please Type or Print Clearly.

Exhibiting Firm: ________________________________________________________________

Street Address: _________________________________________________________________

City: _____________________________________State: ____________ Zip: _______________

Phone: _______________________________Fax: _____________________________________

E-mail: ______________________________ Website: __________________________________

Official Exhibit Contact: __________________________________________________________

Mailing Address (if different): ______________________________________________________

Special access needs: _____________________________________________________________

Cost of Exhibit Space: $1,000 for one 8'x10' exhibit space. $900 for CANEC Business Members. Please send payment with this application. Full payment must be received by our office by March 1, 2003. Failure to pay for exhibit space by March 1, 2003 will result in the cancellation of the reservation.

Space Requirements: Number of Booths __________________

Electrical Needed Yes / No

Internet Access Needed * Yes / No

Internet access will be an additional cost to the exhibitor and will be based on the number of requests we receive by exhibitors for internet access. We will contact you directly to arrange internet access and you will be billed separately for this service. Full payment must be received by CANEC by March 1, 2003 for internet access for your exhibit.

Special Needs for Space: ______________________________________________________________________________

Description and Names of Booth Attendants:

Please provide a 50-75-word description of the products or services being exhibited by your company/organization at the conference. This description will be printed in the conference program along with the contact information you are providing above. Please include a list of all people who will be representing your company / organization at your booth so we can make nametags for each attendant in advance.

Payment Information:

_______ Total Cost of Exhibit Space.

_______ Check # ___________________________________________________ is enclosed.

_______ Please bill my credit card.

Card Number: _________________________________________________________________

Expiration Date: _______________________ Billing Zip Code: __________________________

Signature: ___________________________________________________________________

Return this form to:

Hickman Charter School, 13306 4th St., Hickman, CA 95323

Attn: Debbie Gibson

Fax: 209-874-3721, Phone: 209-874-1816 x105

E-mail: dgibson@hickman.k12.ca.us

A confirmation letter with additional details will be sent upon receipt of this registration form and payment. If you have additional questions please contact Debbie Gibson at 209 874-1816 x 105.

• Invitation to Exhibit

• Exhibit Details

• Conference Sponsorship Opportunities

• Exhibit Application / Space Reservation Form

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