North Carolina Library Association

NORTH CAROLINA LIBRARY ASSOCIATION 58th BIENNIAL CONFERENCE Greenville Convention Center Greenville, NC 27834 October 6 – 9, 2009

Exhibitor Registration Form Please Complete Online, Print and Mail with Check

Exhibiting Firm/Company

Mailing Address:

Web Address (URL):

Contact Person:

Phone:

EMAIL:

Representatives Attending Conference (Name as it is to appear on badges):

Short Description of Firm (to appear with listing in program)

Booth sign should read (if different from company name):

We wish to reserve and contract for booth(s) as indicated below. Full payment by check or credit card is enclosed. $500 first booth $450 each additional booth An End Cap (Two Booths) $1000 Total Amount Enclosed $ Make check payable to: "NCLA 2009 Conference" Federal Tax Identification No. for NCLA: 56-6064053

Credit Card: Visa or MasterCard

Name on Card:

Card No. Expiration Date

Billing Address:

Firms we DO wish as neighbors

Firms we DO NOT wish as neighbors

* The Association will attempt to meet your preferences regarding the location of your booth, however, the Association reserves the right to make the booth assignments as necessary. Early registrants for the Conference will be given preference in determining

booth location. *Any exhibitor who registers by July 1, will be entered in a drawing for one 10 x 10 ft booth for the NCLA 2009 Conference.. Booth Cost ($500) will be refunded to Winner. * Refund requests cannot be honored after August 1, 2009 * Information received after August 1, 2009 will not appear in the printed conference program. * The NCLA Conference Planning Committee reserves the right to refuse exhibit space to any organization for any reason.

By signing this contract, I agree that the representatives of my company will accept and comply with the Rules and Regulations Governing all Exhibits and Exhibitors.

Signature (officer or representative) Date

Make check payable to: "NCLA 2009 Conference"

RETURN SIGNED FORM AND PAYMENT IN FULL TO: Harry L. Cooke, Ed.D NCLA Exhibits Chair Morris Library 201 Hwy 321 S Gaston College Dallas, NC 28034 Phone: 704-922-6355 FAX: 704-922-2342 Email: [email protected]