Application to Exhibit

44th National Adapted Physical Education Conference Integrate, Innovate, Inspire-“Get IN the Game with APE” November 19-21, 2015 – Hyatt Regency Orange County (Garden Grove, CA)

APPLICATION TO EXHIBIT

Name of Company: ______(Print as you would like your sign to read) Contact Person: ______Address: ______Phone: ______Product(s): ______

Name(s) of Booth Representatives: ______

______

The exhibit area will be located in an area that will generate a steady flow of traffic. One 6’ by 30” table will be provided with a tablecloth and drape, two chairs and a printed sign advertising your company for $225. Will an electrical outlet be needed? Yes ______No ______(Additional cost of $35.00 per day) Requesting an additional table? Yes ______No ______(Additional cost of $25.00 per day) Additional requests? ______On site sale of merchandise is REQUESTED. Requests for the hotel to receive and hold your vendor supplies can be made when you register as a guest with the hotel. The conference room rate at the Hyatt, Garden Grove is $139.00 plus tax, per night. The number for reservations is (714) 750-1234. Time of exhibit setup: Friday, November 20th from 7:00 am to 10:00 am Saturday, November 21st from 7:00 am to 8:30 am All exhibits must be broken down Friday evening by 6:00 pm and all items will be stored in a locked and secure room until set up Saturday morning at 7:00 am. To ensure space, application with deposit must be received by June 30, 2015. Mail application with payment to: CAHPERD, 1501 El Camino Avenue, Suite 3, Sacramento, CA 95815-2748 or fax to 916-922-0133 Make checks payable to: CAHPERD

Credit Card #

Credit Card Expiration Date (MM/YY)

Name on Credit Card

Signature (required only for credit card transactions)

Enclosed is a deposit of $ ______($50.00 minimum). Balance of $______is due by September 30, 2015. Email a copy of this application to: Bruce Davey [email protected]