<p> Pennsylvania Recreation and Park Society, Inc. 6th Annual Greenways and Trails Summit Educational Display CONTRACT</p><p>Please complete the appropriate sections and return this contract with your deposit. Please print clearly or type and keep a copy for your records.</p><p>GENERAL INFORMATION:</p><p>Company: ______</p><p>Address: ______</p><p>City: ______State: ______Zip: ______</p><p>Phone: (_____) ______Fax:______</p><p>Website: ______Email:______</p><p>We wish to reserve______(indicate quantity) educational display(s) at the 2011 PRPS Greenways and Trails Summit to be held at the Yorktowne Hotel, York, PA from September 11-13, 2011. We understand that there is no fee for this display space. If we require electric it is $20 to cover the expense. We agree to comply with the rules, regulations, and provisions established by the Pennsylvania Recreation and Park Society.</p><p>Authorizing Signature: ______Title:______Date:______</p><p>Type of Exhibit Space: Table Top (6’ Draped Table):______Space for Stand-Alone:______</p><p>PRODUCTS/SERVICES: (For listing in Program Guide; 40 words or less; please print or type; attach additional sheet if necessary)</p><p>______</p><p>______</p><p>______</p><p>DISPLAY REPRESENTATIVES:</p><p>Name: ______</p><p>Title: ______</p><p>1 Name: ______</p><p>Title: ______</p><p>*ADDITIONAL INFORMATION ON REVERSE SIDE</p><p>2 ADDITIONAL ITEMS: PAYMENT INFORMATION:</p><p> Sponsorship  Display Space No Charge We are interested in the possibility of  Electric @ $20 $ ______sponsoring at the 5th Annual Trail Summit. Please contact us: PRPS SUPPORTING MEMBERSHIP  Renewal @ $190 $ ______Contact Person:  New Member @ $150 $ ______ Building Fund Contribution $ ______(Tax-deductible) Phone: (_____) ______TOTAL DUE $ ______ Accessibility Accommodations AMOUNT ENCLOSED $ ______Please check here if any of the company representatives require special accessibility or accommodations at this function. Attach specifications. METHOD OF PAYMENT</p><p> IMPORTANT INFORMATION FOR CHECK ENCLOSED CHECK #:______EDUCATIONAL DISPLAYS Make check payable and mail with contract to: PRPS 1. Although the space is complimentary, should 2131 Sandy Drive you desire to attend educational sessions or State College, PA 16803 events, you must register as a summit attendee.  BILL CREDIT CARD: ____Visa ____MC ____AmEx ____Discover 2. Electric is available from the convention center. If you need electric please check here Card #______Exp.______and we will set it up for you. There is a $20 charge for electric. 3-digit number on back of card: ______(V, MC, DCVR) 3. Please fill out this form and mail or fax to 4-digit number on back of card: ______PRPS no later than August 12, 2011 (See below (Amex) and right for contact address and fax number). Signature______4. If you have any questions, please contact Emily Gates by phone (814) 234-4272, fax (814) 234-5276, or email [email protected]. FOR PRPS OFFICE USE Thank you! Date Received: ______</p><p>Entered in Database: ______3</p><p>Amount Paid </p>