2017 EL Alliance Exhibitor Registration Application

Final notifications will be by February 15, 2017.

If you would like to display at the upcoming EL Alliance Conference at the Hilton in Eugene, OR, on March 9-10, 2016, please submit the following information to secure a table.

Question Title

* 1. Organization Type:

Non Profit Organization

For Profit Organization

Question Title

* 2. Service your organization provides (100 words or less):

Question Title

* 3. Contact Information:

Name:

Company:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

Question Title

* 4. Representative at the conference (up to two):

Rep 1 Name:

Rep 1 Email:

Rep 1 Cell:

Rep 2 Name:

Rep 2 Email:

Rep 2 Cell:

Question Title

* 5. My booth requires:

Electricty

Internet

Other (please specify):

Conference Fee: $200 - Non Profit Organization; $500- For Profit Organization

Fee includes skirted 8' table. Also included will be continental breakfast and lunch.