2004 Conference Exhibit Agreement

Please type or print the following information exactly as you wish it to appear on Conference Program Guide.

Name of Company: _____________________________________ Phone (_____)____________

Division of Parent Company: _____________________________________________________

Address: _________________________________ City/State/Zip  ________________________

Products or Services to be exhibited: ________________________________________________

Address: __________________________________ City/State/Zip ________________________

PLEASE PRINT FOLLOWING INFORMATION CLEARLY:

Names for exhibitors’ badges: _____________________________________________________

Names for exhibitors’ badges: _____________________________________________________

Names for exhibitors’ badges: _____________________________________________________

Company name for exhibitors’ badges: ______________________________________________

Number of exhibit spaces needed:_____ @ $150 each =______

(*After 9/24 cost is $175 each).

Payment and this form must be returned no later than Friday, September 24, 2004.

Make checks payable to ACET. Please make a copy of this completed form for your files.

Return this form with your payment to:

Ed Clack, ACET Treasurer, P. O. Box 3429, Galveston, Texas 77552.  FAX: (409)762-5385.

Please provide contact information, if we have questions about information on this form.

Name: _______________________________ E-mail: _________________________________

Signature: ____________________________ Date: ___________________________________

Your exhibitor contact is:

Rajiv Malkan @ (936)273-7344 or e-mail rajiv.malkan@nhmccd.edu