Exhibitor Registration Form

March 25-26, 2008 - Washtington Country Fair Grounds...agenda April 22-23, 2008 - Bridgerland Applied Technology College(BATC)...agenda April 29-May 1, 2008 - Davis County Events Center...agenda Printable Registration Form   Please Fill Out The Form To Register For Utah CCD   *Organization Name     *Contact Person     *Address     *City     *State   AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY   *Zip     *Phone     *Email       Fax     *Agency Type   Contractor Sub Contractor Equipment     Association Education/Training Material Supplier     Trucking Other     Event/Booth Fee Information: Washington County Fairgrounds and BATC Booth fees are $50 per booth. Davis County Events Center booth fee is $200 and includes 2 lunch tickets for each day. Fees are waived if you belong to a non-profit or government & education agency. Non-profit or government & education agencies will not recieve lunch tickets for the event at the Davis County Events Center.   Select Event   Washington County Fairgrounds - Number Of Booths   Are you non-profit or government & education agency? Yes No   BATC - Number Of Booths   Are you non-profit or government & education agency? Yes No       Davis County Events Center - Number Of Booths     Are you non-profit or government & education agency? Yes No     Number of Extra Meal Tickets ($7 each)       Sponsorship Information: Sponsorships are available and greatly appreciated! Utah Construction Career Days is registered non-profit 501(c)3. EIN 20-2231490. Sponsors will be recognized on banners if received 3 weeks prior to any event. Sponsors will also be recognized on the Utah Construction Career Days website. Help be apart of reshaping the construction image to youth! I can attend and would like to be a sponsor (sponsorships include both fees!!!) I can not attended, but would like to be a sponsor Thank you, but I can not be a sponsor at this time.     Sponsorship   Bronze $250 Silver $500 Platinum $1000       Exhibit Information: Exhibitors will be split into three areas, which area of focus best describes what you will display?   Exhibit Type   Exhibits (display, educational, program promotion, indoors) 15x15 space     Trades (hands-on demonstrations, hand-tools, indoors and/or outdoors) 15x30 space     Equipment (backhoe/loader, dump trucks, excavator, dozer, skid steer, outdoors) 40x40 space   Electrical needed:   Yes No   Number and type of equipment you plan to bring (if applicable):     Number: Type:     Number: Type:     Number: Type:   Please provide a brief explanation of activities you plan to do with the youth:       Personnel attending   Name: Date   Name: Date     Name: Date     Name: Date     Name: Date     Payment Information: The Utah LTAP Center will contact you if are paying via credit. Please make checks payable to: "Utah Construction Career Days" and mail to: Utah LTAP Center   Any Questions? Utah State University   Phone: (435) 797-2931 4111 Old Main Hill   Fax: (435) 797-1582 Logan, UT 84322-4111   Email: utahltap@usu.edu *Total Booth Fees   *Total Sponsorship   *Grand Total     *Payment Type   Checks in the mail Credit Card     Credit Card Type   Visa Master Card Discover   Comments/Additional Notes: