2016 BASA School Facilities and Safety Conference

2016 BASA School Facilities and Safety Conference

Exhibitor Application

March 9 & 10, 2016

DoubletreeHotel-Worthington **Exhibit Spaces are VERY Limited!** ** Deadline for returning Exhibitor Application: January 15, 2016 **

Company/Organization:

Contact Name and Title:

Address:

City, State, ZIP:

Phone Number:

Fax:

Email:

NAMES & TITLES (WE MUST HAVE TITLES) of those hosting your booth

(for name tag purposes) :

1.

2.

3.

4.

Booth Cost:

o BASA Partners: $500.00

o Non-Partners: $1,000.00

Booth Information: Your booth will include 1 table with 2 chairs. Carpet is not needed. If you require electricity, please check the box below. You will be notified of your booth’s placement by February 1, 2016.

Pop-Up Size: Height

Width

Table Size: o 6 foot o 8 foot

Do you wish for BASA to supply the table for your exhibit? o Yes

o No

Electricity Needed?

o Yes o No

Meal Tickets: Each exhibitor will receive 2 complimentary meal tickets for Continental Breakfasts & Lunch. Additional meal tickets may be purchased at a cost of $30.00 per person.