Symposium Vendor 2018 – Pay by Check Please complete the form below and we will send you an invoice to pay by check. Symposium Vendor Exhibitor Contact*Main contact to organize participation at event. First Last Exhibitor Contact Title*Exhibitor Contact Email* Phone Number*Company Name*How would you like your company name to appear in print?Website Mailing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code High resolution company logo for marketing purposes.Onsite Representative 1 - Name* First Last Onsite Representative 1 - Email* Onsite Representative 2 - Name First Last Onsite Representative 2 - Email Vendor Table*Registration price is $550 until August 1. After August 1 the price will increase to $650. All vendor tables will be in the lobby in very visible locations. We will assign tables on a first-come, first-served basis, factoring in space requests. We will be in touch soon with the map and your assignment. Price: $550.00 Quantity: What does your table need?* Electricity Extra onsite representative None of the above Special Requests*We will make every attempt to accommodate special requests and will contact you directly to discuss your selections. I will not need a table in my space I have a display that works best against a wall None of the above Other What is your additional request?*Mail Checks ToMake check payable to: University of Western States Memo: 59105 - VendorMail to: DCE: UWS-2900 NE 132nd Ave-Portland, OR 97230AuthorizationBy clicking submit we understand that this exhibit space reservation form will become a binding contract upon acceptance by University of Western States, and is subject to the Terms and Conditions.