SECTION I: EXHIBITORS

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1 NAFSA: Association of International Educators Region I Conference, Tacoma, WA The Art of International Education November 7 10, 2012 Exhibitor Registration Form ORGANIZATION: NAME OF CONTACT: Title: MAILING ADDRESS: SECTION I: EXHIBITORS # of tables at $475. Includes 1 table and 1 representative s conference registration. Late registration (after October 5): $575 # additional exhibitor representative registrations for same organization at $200 each. Late registration for additional representatives (after October 5): $300 each Equipment or space needs (e.g. electrical outlet): Exhibition Hall Hours: Set-up: Thursday, November 8, 10 am 1 pm Exhibition Hall opens: Thursday, November 8, 1 pm Exhibition Hall closes: Saturday, November 10, 10:30 am Break down: Saturday, November 10, 10:30 am 12:30 pm Exhibit hall is in the main corridor at the conference site, which all attendees must pass through on their way to and from most conference sessions. The hours of the Exhibit Hall are therefore the hours of the conference sessions. Sub-Total Fees for Exhibiting, Representatives

2 NAME OF REPRESENTATIVE AT CONFERENCE: Title: Name (no titles, please) as you wish it to appear on nametag: MAILING ADDRESS: Dietary Restrictions I request vegetarian meals Yes No I request gluten-free meals Yes No (Note: changes to meal requests should be made in advance, and cannot be changed at the time of the conference. Special meal requests may not be available to on-site registrants). Please indicate which conference events Representative #1 will attend. All of the following events are included in the conference registration fee, but by indicating your attendance you will help us plan for the events. Welcome Reception Nov. 8 th 5:45 6:45 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $20 Awards Luncheon Nov. 9 th 12:00 2:00 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $35 Gala Auction Nov. 9 th 7:00 10:00 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $30 SPECIAL SERVICES REQUIRED: Persons with disabilities must indicate special services needed below and submit by October 5, 2012 Emergency Contact Information: In the event of an emergency, please contact: Name: _ Telephone: Relationship to registrant: 2

3 2nd REPRESENTATIVE AT CONFERENCE (IF ANY) Title: Name (no titles, please) as you wish it to appear on nametag: MAILING ADDRESS: Dietary Restrictions I request vegetarian meals Yes No I request gluten-free meals Yes No (Note: changes to meal requests should be made in advance, and cannot be changed at the time of the conference. Special meal requests may not be available to on-site registrants). Please indicate which conference events Representative #2 will attend. All of the following events are included in the conference registration fee, but by indicating your attendance you will help us plan for the events. Welcome Reception Nov. 8 th 5:45 6:45 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $20 Awards Luncheon Nov. 9 th 12:00 2:00 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $35 Gala Auction Nov. 9 th 7:00 10:00 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $30 SPECIAL SERVICES REQUIRED: Persons with disabilities must indicate special services needed below and submit by October 5, 2012 Emergency Contact Information: In the event of an emergency, please contact: Name: _ Telephone: Relationship to registrant: 3

4 3 rd REPRESENTATIVE AT CONFERENCE (IF ANY): Title: Name (no titles, please) as you wish it to appear on nametag: MAILING ADDRESS: Dietary Restrictions I request vegetarian meals Yes No I request gluten-free meals Yes No (Note: changes to meal requests should be made in advance, and cannot be changed at the time of the conference. Special meal requests may not be available to on-site registrants). Please indicate which conference events Representative #3 will attend. All of the following events are included in the conference registration fee, but by indicating your attendance you will help us plan for the events. Welcome Reception Nov. 8 th 5:45 6:45 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $20 Awards Luncheon Nov. 9 th 12:00 2:00 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $35 Gala Auction Nov. 9 th 7:00 10:00 PM Will Attend / Will Not Attend Attendee: $0 Number of Guests: Guest: $30 SPECIAL SERVICES REQUIRED: Persons with disabilities must indicate special services needed below and submit by October 5, 2012 Emergency Contact Information: In the event of an emergency, please contact: Name: _ Telephone: Relationship to registrant: 4

5 SECTION II: ADVERSTISEMENT IN CONFERENCE PROGRAM (Advertisement will be reserved in order received) full-page ad, back cover (finished size 7 1/2 x 10): $400 ($375 for exhibitors) full-page ad, inside front cover (finished size 7 1/2 x 10): $325 ($300 for exhibitors) full-page ad, inside back cover (finished size 7 1/2 x 10): $325 ($300 for exhibitors) full-page ad (finished size 7 1/2 x 10): $275 ($250 for exhibitors) half-page ad (finished size 7 1/2 x 5): $200 ($175 for exhibitors) quarter-page ad (finished size 3 1/4 x 5): $125 ($100 for exhibitors) one-eighth-page ad (finished size 3 1/4 x 2 1/2): $100 ($75 for exhibitors) Sub-Total Fees for Advertising 5

6 SECTION III: EVENT SPONSORS (Please check the event(s) you wish to sponsor. Event sponsorship will be reserved in order received. If you first choice is not available, we will contact you to select an alternative.) Conference Gala/Auction, $1300-1/2 page inside ad in conference booklet - 2 guest tickets for your event - An opportunity to post signs at the event - Your company listing on our website and included in our s - An opportunity to address the conference attendees at the event Conference Networking Luncheon, $1200-1/2 page inside ad in conference booklet - 2 guest tickets for your event - An opportunity to post signs at the event - Your company listing on our website and included in our s - An opportunity to address the conference attendees at the event Conference Opening Reception, $950-1/2 page inside ad in conference booklet - 2 guest tickets for your event - An opportunity to post signs at the event - Your company listing on our website and included in our s - An opportunity to address the conference attendees at the event Beverage Breaks (Total of 4 breaks throughout the conference) Beverage Break, $300 for full sponsorship of each break - 1/4 page inside ad in conference booklet - An opportunity to post signs at the door - Your company listing on our website Beverage Break, $150 each for co-sponsorship of each break - 1/8 page inside ad in conference booklet - An opportunity to post signs at the door - Your company listing on our website Sub-Total Fees for Sponsorship 6

7 PAYMENTS Checks payable to NAFSA Region I All conference fees should be submitted with this form. Checks must include the names of all registrants. Cash $ Institutional Check # $ Personal Check # $ Credit Card: Visa Master Card American Express Card # Expiration Name on Card Signature If you are not able to register online, please mail this form to: Attention: Mark Goldfarb, NAFSA Registration Bureau, 411 Lafayette Street, Suite 201 New York, NY OR Fax to: For questions about registration call or TOTAL FEES: Exhibitor/Representative Fees (I) Advertising Fees (II) Sponsor Fees (III) Total Fees to Region I 7

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