Exhibitor Registration Form

Innovation Expo 2009 Innovation Expo™ 2009 October 14, 2009 Ramkota Hotel & Conference Center Sioux Falls, South Dakota Exhibitor Registration Form Step 1: Contact Information Company Name: ______________________________________________________________ Exhibitor 1 Name: _____________________________________________________________ Exhibitor 2 Name: _____________________________________________________________ Address: _____________________________________________________________________ City: __________________________________________________State:_______Zip:_______ Phone: _______________________ Email: _________________________________________ Company profile: ______________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Email logo to mailto:timw@sdei.org Company Profile and Logo is needed by October 7th in order to be included in the Expo Show Book Step 2: Exhibitor Information/Pricing Option #1 – Entrepreneur/Inventor/Researcher A) Basic Booth Package* $100 B) Deluxe Booth Package** $150 Yes, I would like to participate in the “Whatchamacallit Invention Contest” Option #2 – Vendor/Service Provider** $250 *Includes: 10’ x 10’ booth, 6’ table, 2 chairs, 2 admission tickets, 2 lunch tickets **Includes: 10’ x 10’ booth, 6’ table, pipe and drape, 2 chairs, electricity, 2 admission tickets, 2 lunch tickets 2301 Research Park Way, Suite 218 -- Brookings, SD 57006 -- (605) 697-5015 -- www.sdei.org Wireless internet is available through the Ramkota at $26.50 per access point. Call Julie at (605) 336-0650 for purchasing information. Additional Tickets can be purchased for a charge of $20 each. Please list names ______________________________________ ______________________________________ ____________________________________ ____________________________________ Step 3: Payment Information Check #________ (payable to Enterprise Institute) Please charge my credit card the amount of: _________________ ___ Master Card ____VISA Account Number: __________________________________Expires: ______________ Signed: _______________________________________________________________ (For card if name & address differ from above) Cardholder Name: _______________________________________________________ Address: ______________________________________________________________ City: __________________________ State: _____________ Zip: ________________ Step 4: Return Form • Mail form with payment to: Enterprise Institute 2301 Research Park Way, Suite 218 Brookings SD 57006 • Email scanned form with card info to: timw@sdei.org 2301 Research Park Way, Suite 218 -- Brookings, SD 57006 -- (605) 697-5015 -- www.sdei.org

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