Mail to:
HUTC2002 Exhibitor Application Hampton University Center for Information Technology Harvey Library 5th Floor Hampton, Va 23668 Or Fax with Credit Card Payment Information
10 x 10 Booth Square Cost is $1000.00 Includes 2 Guest Passes to Full Conference Events
Company Name: Address: City: State Zip Code
Phone (office) Phone (fax) Application Submitted By Title Signature_____________________________________________ Date__________________________________
Please provide a brief description of your products and services
Space Requirement ( In Square Footage) How many Nework Connections will you need? Need for Electrical Outlet? yes no
NO PERSONAL CHECKS
Make Payable to: Hampton University Technology Conference 2002
Total Amount Enclosed $ (Please Select One) Certified Check Money Order Cashiers Check MasterCard Visa American Express Discover Account Number Expiration Date / / Name of Card Holder______________________________________________________________________ __________________________________________ ____________________________________ Cardholders Signature Date