Exhibitor Registration – Jan-Mar 2015 ChemEd 2015 Conference Exhibitor Registration Form *Required *Company/Organization: _____________________________________________________________________________ *Contact Person: ___________________________________________________________________________________ *Address: _________________________________________________________________________________________ *City: ___________________________________ *State: ___________ *Zip: __________________________________ *Phone: ____________________________________________ Fax: __________________________________________ *Email address of Contact: ___________________________________________________________________________ Website Address: ___________________________________________________________________________________ *Representative #1 Name: ____________________________________________________________________________ *Representative #2 Name: ____________________________________________________________________________ Registration and Fees Exhibitor Booth Space: _______ 6’x8’ ($850 Jan. 1, 2015 – Mar. 31, 2015) _______ 8’x16’ ($1275 Jan. 1, 2015 – Mar. 31, 2015) ChemEd will provide each booth with a basic set of materials:  Booth with 8' high back drape and 3' high sides  One skirted 2'x6' table or 2'x8' table (depending on booth size), two chairs, vendor sign, and waste basket Each booth fee will include two (2) ChemEd 2015 exhibitor's registration badges and conference materials for employees of the exhibitor working at the booth. Exhibitors may present a total of three papers or workshops. Conference rooms will be available at $100/hour for companies wishing to meet with groups of ChemEd participants. Exhibitor Registration – Jan-Mar 2015 ChemEd 2015 Conference Accommodation Requests Vegetarian Meals:  Assistance at Conference (specify): _____________________________________________________________ Other (specify): ____________________________________________________________________________ Event Materials: Braille  Large Print  Once your registration has been submitted and payment has been processed, you will receive an email to submit your company logo and to choose your exhibitor booth location. Booth space will be available on a priority basis by date of receipt. Payment For Debit and Credit Card payments, please visit ccpe.kennesaw.edu/chemed to submit your registration online. CHECK OR PURCHASE ORDER: When paying by check or purchase order, print a copy of this registration form and mail, email, and/or fax with your payment and/or purchase order. Attendees will receive a registration receipt from Kennesaw State University’s College of Continuing and Professional Education. Attendees are not registered for the conference until payment or purchase order is received, AND a receipt from Kennesaw State University has been issued confirming the registration for the event. Checks should be made payable to Kennesaw State University. Send check or purchase order to: Kennesaw State University College of Continuing and Professional Education Attn: Conference Registration 1000 Chastain Rd MD#3301 Kennesaw, GA 30144 Phone: 470-578-6765/ 1-800-869-1151 Fax: 470-578-9085 Email: conferences@kennesaw.edu Cancellation Policy Cancellations, in writing to ksuchemed2015@gmail.com, will be permitted up to March 1, 2015, less a $50 cancellation fee. For cancellations postmarked after March 1, 2015 but before May 1, 2015, a fee of $150 per booth space will be assessed. After May 1, 2015, no booth fees will be refunded. If booth space is not occupied four (4) hours prior to the exhibit opening or the exhibit chairperson has not been notified, the exhibit chair shall have the right to use the space at their discretion. No refund will be made in this case. For Conference questions, call 470-578-3677. For Registration questions, call 470-578-3109.