Earth Day Celebration - Booth Registration Form

All booth registration forms and payment must be received by April 15, 2010

Please fill out the information below and click the Submit button. You will then be able to choose your payment option.

Booth Name: (as you would like it to appear in publications) *


Organization Name: (if different from Booth Name)


Your Web Address: (if you want your Booth listing to be a link to your site)


Booth Rates: *
For-profit (booth only) - $250 Non-profit (booth only) - $100 For-profit discounted rate for being a Worksite Host or Sponsor - $150 Non-profit discounted rate for being a Worksite Host or Sponsor - $50

Contact Name: *


Contact Phone: *


Contact Email: *


I would like my booth next to another organization:


Please list any special ideas, needs, or requests for your booth: