HomeMy WebLinkAboutAlaska Wood Energy Conferance Booth Registration 11-05-2011-BIO
Return By March 25 Westmark Hotel
To Be Included in Conference 813 Noble Street , Fairbanks, Alaska
Program Resource Fair Registration Form
April 26 & 27, 2011
Business: _________________________ Representative_________________________
Address: ________________________________________ State: ______Zip:_________
Phone: ____________________Fax:_______________E-mail:_____________________
Set up: Monday, April 25 2 – 9pm, Tuesday, April 26 (7am – 9am) and Wednesday, April 27 (7am- 9am)
Conference Tuesday 8 – 7pm, Wednesday 8 – 5pm
Booth Rental Options:
A. Commercial vendor (6’ x 8’ booth with table)………………………$350
Includes one conference registration and lunch both days
B. Agency/Non-profit display (6’ x 8’ booth with table)…………….$200
Includes one conference registration and lunch both days
(Note, Conference registration fee without resource fair participation is $125 per attendee)
Booth Preferences: Electricity needed? Yes ____No____
Large equipment display? Yes ____No____
Payment options: Check# ___________Cash $_____________Credit Card____
Make checks payable to:
FEDC You may fax your completed form to 907-451-9534, or
301 Cushman St. Suite 301 email to Cassie Pinkel at pinkel@investfairbanks.com
Fairbanks, AK 99701
2011 Alaska Wood Energy Conference in memo line
Credit card Information
Cardholder Name: _____________________________________________________
(as it appears on card)
Card Number: _________________________________ Exp. Date: _______________
____Visa _____MC V-Code___________(last 3 digits printed in signature section of card)
Amount to charge $_________Credit Card Billing zip code: _____________
Cardholder Signature: _____________________________Date:___________________