Contact Information

• Company Name:
  
• Contact Person:
• Address:

• City:		Zip:
  Phone:		Fax:

• E-mail Address:
• Confirm E-mail Address:

Display Tables

Please indicate how many display tables you wish to reserve (each table includes 2 chairs and table cover):
• 1 table @ $2501 table @ $150 (Non-Profit)2 tables @ $3502 tables @ $225 (Non-Profit)
*Table display locations will be allocated on a first registered, first accommodated basis. Space is limited- register early.

Sponsorship Levels

• Please indicate your sponsorship level: Gold Sponsor ($2000)Silver Sponsor ($1,000)Awards Banquet Sponsor ($750)Luncheons or Breakfasts ($500 each)Break Sponsor ($200 each)Other Sponsorship Level (Specify in comments field)
• Comments:

Other Conference Opportunities

• We would like our catalog/brochure or other items included in registration packet ($100).
  We will provide a door prize (no charge).
  We will present at the conference (no charge, submit session proposal).

Additional Comments

Total

Send check made payable to UAACCE with notation of sponsor/exhibitor.

UAACCE
c/o Sandi Grant
PO Box 203
Salt Lake City, Utah 84110

DEADLINE FOR SPONSOR/EXHIBITOR REGISTRATION IS SEPTEMBER 21, 2009.

Release of Liability:

The exhibitor assumes entire responsibility and liability for losses, damages, and claims arising out of exhibitor’s activities on the University premises and will indemnify, defend and hold harmless the University its owner, and its management company, as well as UAACCE from any and all such losses, damages and claims.
• Agree to these terms.

Verification Code:

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