University of Colorado at Boulder
Accessing Higher Ground: Assistive Technology in Higher Education
November 14 – 16, 2001

Vendor Agreement

Please note:  Space is limited, so make your reservations early.  We accept checks (payable to the University of Colorado ) and VISA or MasterCard (circle card used). 

Credit Card #                                                               Expiration                                            
Signature for Credit Card                                                                                                                                                                                                                     

Disability Services                                                                     Phone:  303-492-8671
University of Colorado                                                              FAX:  303- 492-5601
107 UCB, Willard Rm 322
Boulder , CO   80309-0107

Contact __________________________________Title___________________________

Names of others attending:                                                                                           

Email___________________________________________________________________

Company name___________________________________________________________

Address_________________________________________________________________

Phone_________________________________FAX______________________________

Type of product___________________________________________________________

Note:  Conference center does not supply extension cords, lamps, etc.  Please bring all necessary accessories for your exhibit. 

Please indicate your display area needs:
Booth rental (8 foot skirted table with chair)
                     $125.00 before 7/30/01                                                            $__________
                     $150.00 after 7/30/01                                                               $                    
Electricity      $10.00                                                                                      $                    

Extra chair    No charge        (please circle:  Yes      No) 
Other:_____________________________

Parking Fee  $5/day Wed.  __  Thu.  __  Fri.  __             $________

Please indicate if you are interested in the following meals:              No. persons
Keynote dinner Wednesday evening $20.00                    $          X         $                     
(Please circle the type of dinner you prefer:  chicken, trout, vegetarian)
Friday lunch $15.00                                                        $          X         $                     
Total                                                                                                      $                     

 Note: The vendor area will be open from 9:00 a.m. November 14 through November 16.  You may begin setting up your booth any time after Tues., Nov. 13 at 5:00 .