May 5, 2009 Radisson Plaza Hotel Lexington, KY

EXHIBITOR/VENDOR REGISTRATION FORM
(Print this page or click here for printable pdf.)


EXHIBITOR/VENDOR COMPANY NAME:_________________________________________
(Vendors will be located in a specially-designated Sales Room; Exhibitors cannot sell items from their exhibit space)
PERSON COMPLETING THIS FORM:_____________________________________________

PHONE NUMBER:__________________________EMAIL:____________________________

** DO YOU REQUIRE ELECTRICITY AT YOUR TABLE?  YES  NO

** DO YOU REQUIRE ACCESS TO A PHONE LINE AT YOUR TABLE?  YES  NO

** DO YOU WISH TO SELL ITEMS AT THE CONFERENCE?  YES  NO
If so, give brief description of items for sale:_____________________________________

LIST ALL PERSONS ATTENDING AND CHECK THE APPROPRIATE BOX. PLEASE ENCLOSE PAYMENT FOR ALL REGISTRANTS. ANY ADDITIONAL PERSONS REGISTERING ONSITE MUST PAY FULL REGISTRATION FEE OF $175.

  NAME
(as it should appear on nametag)
COMPANY NAME
(if different from company above)
Exhibitor fee:
$300 for 1
person & 6’
skirted table.
(No sales
from the
floor)
Vendor fee:
$375 for 1
person & 6’
skirted table.
Additional
Exhibitor/
Vendor Associates:

$150 per
person
(Maximum 2)

1          
2          
3          

Price includes admission to full conference, including breakfast & awards luncheon, all materials, recognition in signage & program book, and an attendee list. Set-up time: 7:00 a.m. Materials may be dropped off or mailed anytime after April 24th to Radisson Hotel where they’ll be stored until May 5. Space and electricity are available on a first-come, first served basis.

METHOD OF PAYMENT:                                                               Total Enclosed: $_________

Check (payable to Women Leading Kentucky)__
Credit Card: Card #_______________________Exp Date_________ Security # on front_________

Name on Card____________________________________________________________
Billing Address______________________________________________________Zip_________

Please complete and return with payment no later than Tuesday, April 1, 2009:

By Mail: Women Leading Kentucky                                             By FAX: 859-268-0645
             PO Box 961
             Lexington, KY 40588                              Questions?  info@womenleadingky.com

 

 

Phone: 859-269-3503; Fax: 859-268-0645; email: info@womenleadingky.com

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