Tennessee
Name of Company/Organization
___________________________________________
Address:
_______________________________________________________________
City:
___________________________ State: _____
Zip Code: _________________
Representative/Contact
Person: ____________________________________________
Email Address:
__________________________________________________________
Phone Number(s): _______________________________________________________
Names(s) for
badge(s): ___________________________________________________
_______________________________________________________________
Exhibit Reservations [includes electrical outlet(s)]:
Single
Booth, 8’ x 8’ (1 6’table) $350 ____________
Double
Booth (3 6’ tables)
$600 ____________
Extra 6’ Table $ 75 ____________
The
drayage company is George E. Fern Company, nashville@georgefern.com
(615)
256-0357, Judy Hill, contact person, Jhill@georgefern.com .
Program Advertisement
¼ Page $ 30 ____________
½ Page $ 60 ____________
Whole Page (8 ½” x 11”) $100 ____________
Total
$___________
Sponsorships/Contributions:
Benefactor $1000
Patron 750
Friend 500
Sponsor 250
Contributor 50-200
Amount
Contributed $________
Make checks payable to:
Return this form and remittance by October 20 to: Dr. Stan Peppenhorst
TSTA Exhibits Coordinator