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NOTE: This form is to be completed by non-Corporate Partners only. If you are a NAWBO-Indianapolis Corporate Partner and would like an Exhibit Table, click here.

EXHIBIT TABLE REQUEST FORM


**REQUESTS DUE BY WEDNESDAY, DECEMBER 9, 2009.**

REMINDERS
*Price is $250
*NAWBO-Indy will provide one 6-foot skirted table, two chairs, extension cord and electricity (if requested) 
*Price does NOT include a wireless Internet access or a luncheon seat. 
*Exhibitors planning to attend the luncheon MUST purchase a seat.

SET-UP TIME: 8:30-9:30 a.m.
TEAR-DOWN TIME: Starts one half hour following competion of event and must be completed before 3:00 p.m. day of event.

Exhibitors are responsible for their own display, including ordering and cost of any additional items. Exhibitors assume full responsibility and liability for losses, damages and claims arising out of injury to persons or damage to the Exhibitor’s displays, equipment or property brought upon the premises of the hotel.

SUBMITTED BY
 NAME

 COMPANY

 ADDRESS

 DAYTIME PHONE NUMBER

 E-MAIL
(must be valid or your request will not be received)

EXHIBITOR'S INFORMATION (if different than above)
If more than one exhibitor, please provide additional name and information in the Comments box below.

 NAME

 COMPANY

 PHONE NUMBER (ON DAY OF THE EVENT)

My exhibit will fit on a 6-foot table top
My exhibit is free-standing (please provide dimensions in description box below)

EXHIBIT DESCRIPTION


AUDIO/VISUAL NEEDS
Yes, I need access to a electrical outlet.
Yes, I need wireless access to the Internet. (Available for an additional fee; fee provided upon request)
 Other. Please provide in the box below



PAYMENT INFORMATION
Payment is due within five days of submission of the request. If payment is not received, space will not be reserved.

Please indicate form of payment:
I will pay by check (more information will be provided upon clicking the Submit button below)
I will pay online using my credit/debit card (more information will be provided upon clicking the Submit button below)

AGREEMENT
I have read and agree to abide by the terms as stated above.

Upon clicking Submit, you will be directed to a confirmation webpage that includes payment information. If are not directed to the confirmation webpage, your request was not received; therefore, please re-submit your request.


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