Foundation of Advocacy for Mental Health

EXHIBITOR INFORMATION

Invite

Fact sheet

Registration

SCHEDULE OF PRESENTERS

SPONSOR OPPORTUNITIES

OUR SPONSORS

DIRECTIONS

REGISTRATION

ORGANIZATION INFORMATION
Business Name:
Contact:
Address:
City:
State:
Zip:
E-mail:
Phone:	Day
	Night
Not-for-Profit Fed ID #
Vendors NYS Sales Tax#

Please describe what you plan to exhibit; product(s) or services


VEHICLE INFORMATION This information is required by the NYS Police
Vehicle Height:		Under 6ft. 6 inches
		Over 6 ft. 6 inches
Driver’s Name:
Driver’s License #:
Vehicle Plate #
State

(If you have any outstanding violations on your driver’s license, be advised you MUST get them resolved prior to applying for reserve parking at PAWS for a CAUSE at the Plaza) REGISTRATION APPLICATION MUST BE RETURNED ON OR BEFORE Wednesday, March 17 _________________________________________________ BOOTH INFORMATION (Each booth is 10’ x 10’ and includes a 6’ table and 2 chairs.)
Commercial Rate		$300 (Early registration fee $275 on or before 1/31/10)
Not for Profit/Educational		$175 (Early registration fee $150 on or before 1/31/10)
Electricity (You will need to bring additional lighting for your booth)		$ 50
Additional 10’ x 10’ Booth (6’ table 2 chairs)		$100
Additional 6’ table		$ 12
Additional Chair		$ 1
Additional Parking Space Friday Only		$ 20

TOTAL FEE DUE

(Full payment expected with registration. NO PERSONAL CHECKS ACCEPTED) BOOTH LOCATION DETERMINED BY DATE PREPAID APPLICATION IS APPROVED
Special advertising opportunities will be available in print and online media for additional fee. Are you interested in participating? Yes No
Written confirmation and load-in procedures will be provided upon receipt of application.
* PLEASE SUBMIT FORM THEN CLICK PAYPAL LINK TO COMPLETE PAYMENT *

	The Mental Health Foundation PO Box 322 Albany, New York 12201