Exhibitor Registration Form

The Pennsylvania Association for Gifted Education
Annual State Conference -- April 22-24, 2010 -- Mars, PA

EXHIBITOR’S REGISTRATION

Note: This form will also be available on the PAGE website (www.giftedPAGE.org) beginning in November.  You can also receive the form by email by contacting either Amy Villa at avilla1@pghboe.net or Dan Rosenberg at PAGEgoes2Mars@gmail.com.


Please type or print the following information as it should appear in the Official Program.

Exhibit Representative:

Company/Organization:

Street Address:

City, State, Zip:

Contact Person:

Phone Number:

Fax:

Email Address:

Type of Material Being Displayed:

Website:

Authorized Signature:

Date:


Electrical Outlet Required?  YES     NO

The cost for a full table (6’ x 30”, with skirt and 2 chairs) is $250.  Each additional table costs $225.  Please send payment along with this application.  Make check payable to: PAGE, Inc.  Please respond promptly, as table space is limited.  Refunds for cancellations will be made only if notice is received by March 1, 2009, and if another exhibitor can use the space reserved by the canceling exhibitor.  Exhibitors may set up as early as 3 P.M. on Wednesday, April 21, 2010.  The exhibit area will be open from 11 A.M.-9 P.M. on April 22nd, from 7 A.M.-6 P.M. on April 23rd, and from 7 A.M.-3:30 P.M. on April 24th.  Lunch is included on both April 23rd and April 24th.

_____Table exhibit: $250
_____Additional tables: $225 each
_____Display space (flyers only): $50
_____Flyers included in the folders of all participants: $100
_____Mandatory stop in the Exhibit Hall stamp card incentive program: $200
_____Provide Door Prizes
_____Present workshop at one of our sessions   
_____Ad in Program (camera-ready ad must accompany payment and be received no later than March 1, 2010)

• 1/6 page: $75 if exhibit table purchased; $100 otherwise
  
• 1/3 page: $130 if exhibit table purchased; $175 otherwise
  
• ½ page: $205 if exhibit table purchased; $275 otherwise
• full page: $395 if exhibit table purchased; $525 otherwise 

Total Amount Enclosed  $_______________

Check #____________________   

Mail payment and completed form to:  
Amy Villa
Pittsburgh Gifted Center, Room C-12
1400 Crucible Street
Pittsburgh, PA 15205