February 11, 2004 Handheld Teaching and Learning Conference
A Conference for K12 Teachers and Administrators

Vendor Display Form

Please complete the entire form as all information effects planning. You may opt to download a pdf copy of the form to complete and fax. Please complete all required fields*. Thank you.

*Name (Company rep in charge of exhibit)
*Title:
*Company:
*Address Line 1:
Line 2, if needed
*City, State, Zip:
*Phone Number:
(area code + number)
*Email:
*Company URL:
*Product/Services provided
*Check applicable fees $100 (standard booth fee) $100 Presentation fee-please complete the presenter form on submission of this vendor application.
  *Total Fee Amount:
*Method of Payment Check
Made payable to Wayne RESA		 P.O.
Send original P.O.
   

To secure booth space, payment must be received in full by January 30, 2004. Thank you.