Go Ahead and Make My Day in San Jose

This page is not interactive, please print out and mail

Application for Exhibit Space

Company Name: ___________________________________________________

Address: _________________________________________________________

City: State: Zip: ____________________________________________________

Phone #: _____________________  Fax #:_________________________

Website: E-mail: _________________________________________________

Attendee #1: (included in exhibit fee)___________________________________

Attendee #2: (included in exhibit fee)___________________________________

Attendee #3: (additional Vendor / Guest $100.00)_________________________

Attendee #4: (additional Vendor / Guest $100.00)_________________________

Electrical Outlet: Cost $50.00. We need electrical outlets.

Please describe the products or services to be displayed. Please limit description to 25 words or less. Please type. The information you provide will be used for the conference attendee's notebooks.

____________________________________________________________________

_____________________________________________________________________

Exhibit Fee: $ ($340.00 Members / $690.00 Non-members) Add. Vendor / Guest: $ ($100.00 each) Electrical Outlet: $ ($50.00) TOTAL: $

We hereby agree to abide by the Conference Exhibit Space Rules and Regulations.

Signature:_____________________ Date:_________

Please complete and return this form with full payment. Please make checks payable to CCUCC - 2001 Conference. Remember exhibit space is assigned on a first come, first served basis. To ensure your company exhibit space, please return as soon as possible. Send to: 

CCUCC-2001 Conference 

Attn: Michael Eusebio

PO Box 4772, Santa Clara, CA 95056-4772.