7/26/2019 2016 Exhibitor RegistrationFinal
1/1
Present the2016 Fall Expo
Saturday, October 15, 2016
Arizona Hands & Voices and The Arizona State Schools for the
Deaf and Blind
Exhibitor Registration
The Black Canyon Conference
Center
9440 N. 25th Avenue
Phoenix, AZ 85021
Contact Information (*Required)
Company* ________________________________________
Address* _________________________________________
City* __________________________________________
State* __________________________________________
Postal Code* ______________________________________
Each exhibitor space includes the following
One (1) 8 x 10 carpeted exhibit space
One (1) 6 draped table
Two (2) chairs
Two (2) conference registrations
Electricity is available at no charge
Extension cords, if required, need to be supplied by
exhibitor
Point of Contact
First Name* ________________________________________
Last Name* ________________________________________
Position _________________________________________
Contact Number* ___________________________________
Email* ___________________________________________
Registration Fees Check One
[ ] For -Profit Rate $500
[ ] Non -Profit Rate $200
Submit registration form by fax to (602) 296 -0425 or email
[email protected]
Payment Information
Make check payable to Arizona Hands & Voices
Mail checks to:
P.O. Box 30163 Phoenix, AZ 85046
You will receive an email confirmation upon registration with
additional information.
To reserve your space or for more information please
contact:
Najwa Ghattas
(602) 828 -1020
[email protected]
"Professional track sponsored by The EAR Foundation"
