cotesol

http://www.colorado.edu/iec/cotesol/FALL13/call2013/logo2013.png

 

APPLICATION FOR EXHIBIT SPACE (Deadline: September 15, 2013)

 

NAME OF FIRM:

 

_____________________________________________________________________________

 

CONTACT PERSON MAKING THE RESERVATION

 

Name________________________________________________________________________

 

Address______________________________________________________________________

 

City                                                     State                                       ZiP____________________

 

Phone____________             Fax                                    E-mail___________________________

 

PERSON(S) attending the convention and needing nametag(s)

 

1.     Name _________________________________________________________________

 

 email ______________ญญญญญญญญญญญญญญญญญญญญญญ___________________________________________________

 

2.    name__________________________________________________________________

 

email__________________________________________________________________

 

local representative 

 

NAME__________________________________________________________________

 

E-mail__________________________________________________________________

 

Please reserve:

____    One table @ $375                   ____    Additional tables @ $325 each 

                                                                     

Amount enclosed: $________ U.S., drawn on a U.S. bank. (Full amount is due upon receipt of application. Please make checks payable to CoTESOL.) I understand that, while every reasonable effort will be made to prevent theft, neither CoTESOL nor the hotel can accept responsibility for loss or damage. DEADLINE: September 15, 2013

 

 

Any special requests?____________________________________________________________

 

Printed name & title of applicant:                                                                                           

 

Signature of applicant:                                                                                                           

 

Please send this form along with your check to:

 

Ruth Moore                                                    

CoTESOL Publishers' Liaison                                   

63 UCB

Boulder, CO. 80309-0063              

Tel: 303-735-6787          Fax: 303-492-5515                                

E-mail: Ruth.Moore@colorado.edu