NASWA's Winter Policy Forum 2006

VENDOR/EXHIBITOR DEADLINE EXTENDED TO FRIDAY, FEBRUARY 10TH

CONFERENCE REGISTRATION
This form is for vendor, exhibitor, or sponsorship registration only. If you are a general participant, please click here for general registration information.

Registration fees for Exhibitors, Vendors, and Sponsors are as follows:

VENDOR REGISTRATION
Vendor registration fee is $575.00 per vendor.
A Booth Package is $1500.00 and INCLUDES one vendor registration.
The fee for each additional vendor registrant is $475.00.

SPONSORSHIP LEVELS
Washington sponsorship is $2500.00
Lincoln sponsorship is $1500.00

If you want additional information about vendor, exhibitors, or sponsors, please click here.
If you purchase a booth package, and have additional people coming to the conference, please fill out this form for each ADDITIONAL person, checking the Additional Vendor box below. For registration questions or additional information contact the Event Manager, Nina Bustria at 202.434.8020 or nbustria@naswa.org.

Registration and payment deadline is ~~February 3rd~~ February 10th.

* - Required Fields

This registration is for*	Booth Package ($1500.00) Vendor only ($575.00)
	Additional Vendor ($475.00)
	Washington Sponsor ($2500.00)
	Lincoln Sponsor ($1500.00)
First Name: *
Last Name: *
Organization: *
Title: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone: *
Extension:
Fax:
Email Address: *
Confirm Email Address: *
Special Accommodations:

If Washington or Lincoln sponsor, please provide a brief description of company and products, not exceeding 30 words, to appear on the Workforce ATM web site and registration packet:
Payment Information:
Purchase Order:
Purchase Order #:
Registration Fee mailed under separate cover:
Registration Fee will be paid on site:
Please mail payment to:	NASWA Winter Policy Forum
	444 N. Capitol St., Suite 142
	Washington, D.C. 20001-1512

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