Conference- apply to exhibit at NTA conference

National Tutoring Association

Exhibitor Registration Form

Deadline February 1, 2012

Exhibits will be open :
Sunday   6:00 p.m. - 9:30 p.m.
Monday 8:00 a.m. - 4:00 p.m.
Tuesday 8:00 a.m. - 4:00 p.m.

Please print/type information as you wish it to appear in the conference program.

Company Name________________________________________________

Address ___________________________________________________

City _____________________________State _______     ZIP__________

Telephone (        )___________________ FAX (     )__________________

Contact _____________________________________________________________

Contact Phone ( ) _______________ E-mail ____________________

Fee must accompany registration form. The deadline for returning this completed form is February 12, 2012. Please send all brochures and displays to the hotel address to arrive no sooner than March 14, 2012. You may be charged a handling fee by the hotel for handling your boxes. Please be sure to label your boxes “National Tutoring Association” under your name and above the name of the hotel. All ad copy for the conference program should be sent to the NTA no later than February 6, 2012.

Names of Representatives Attending Conference:
(1) _______________________________________

(2) _______________________________________

Option 1 ($1500)
Sponsor Opening Reception

Option 3 ($2500)
Sponsor Keynote Luncheon

Option 5 ($100)
Full page ad in conference program

Option 7 ($1000)
Sponsor Awards Session (Monday)

Option 2 ($650)
Sponsor Conference Bags
(Sponsor logo printed on bags)

Option 4 ($350)
One exhibitor booth (10 x 10)

Option 6 ($150)
Literature Distribution brochure/pamphlet iin conference bag

Option 8 ($1500)
Sponsor A Breakfast

Exhibitors are required to pay for all A/V, electrical and web requirements. Exhibitors with more than one representative are required to purchase full registrations for additional exhibitors. Exhibitors may submit one proposal for presenting a concurrent session during the conference. This session will be presented twice. The acceptance of this proposal is in no way linked to exhibitor status and shall be reviewed with all proposals submitted for the conference.

We would like to exhibit at the NTA Conference with Option _____.

Total Amount Due: ___________________

Mail checks, registration form, and ad copy to:

Dr. Sandi Ayaz, NTA Executive Director, PO Box 6840, Lakeland, FL 33807-6840

Office Phone: (863) 529-5206 FAX (863) 937-3390