2021 ODE/COSA Special Education Fall Conference Exhibit Request Form

Exhibitor Information

October 6-8, 2021, The Graduate Hotel, Eugene

Please complete the following form to reserve your space to exhibit at the 2021 ODE/COSA Special Education Fall 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. Please submit your logo for promotional purposes

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

Choose File

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* 7. Please include your organization's website

The $900 includes skirted 8' table, Electricity and Internet. 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 Sera Lockwood at sera@cosa.k12.or.us