2018 Fall Special Education Conference - Exhibit Request Form

Exhibitor Information

October 3-5, 2018 - Eugene Hilton

Please complete the following form to reserve your space to exhibit at the 2018 Fall SPED Conference. You will be contacted shortly after submitting to confirm your spot as an exhibitor.

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* 1. Name of your organization

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* 2. Brief description of your organization

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* 3. Contact Information:

Name:

Company:

Address:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

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* 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:

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* 5. How many booths are you requesting?

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* 6. My booth requires:

Electricty

Internet

Neither

Other (please specify):

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* 7. Would you like to receive information on additional sponsorship opportunities?

Yes! Please send me the sponsorship packet.

Not at this time, thank you!

I would like to hear about future exhibit opportunities with COSA!

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* 8. Please submit your logo for promotional purposes

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 9. Please include your organization's website

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* 10. I am registering as:

a for-profit organization ($650)

A qualifying non-profit, university, or school district ($350)

Other (please specify)

The $650 exhibit fee ($350 for qualifying non profits, universities and school districts) includes skirted 8' table. Also included will be continental breakfast and lunch.

Upon completing this form, an invoice will be processed and mailed to the address you provided above. You will receive an initial confirmation email with set up/tear down times, as well as additional information regarding logistics. A final confirmation with a pre-conference attendee list will be sent prior to the conference. If you have any questions, please contact Meghan Cusick Olson at meghan@cosa.k12.or.us