| Name____________________________________ |
Contact Info: _____________E:mail _____________Phone
| Program/Corporation_________________________________________________
_____________Fax
| |
Mailing Address __________________________________________________________
Corporation ___ Small Business ___ Tribal Project ___ State Agency ___
Individual ___ Non-Profit Agency ___ National Project ___
I/We will participate in Media Faire: Yes___ No___
Requirements:
__ Display Table __ Half Display Table __ AV Hook-Up __ Computer Hook-Up _______________________________________other
I/We will provide:
__ Standard Convention Display __ Display Host __ Printed Handout Material __ Video for viewing __ Presenter for Model Project Track __ Product Sales ______________________________________ Other
Fees: (fees include meal tickets for one person/display table)
__ Materials Only $ 00.00 __ Non-Profit Exhibitor $ 50.00 __ Public Agency $150.00 __ For Profit Entity $250.00
(Checks should be made out to "Nevada State Library" with a notation "5-State Project")
