Exhibitor Registration Form - College of Continuing and

Exhibitor Registration – Jan-Mar 2015
ChemEd 2015 Conference
Exhibitor Registration Form
*Required
*Company/Organization: _____________________________________________________________________________
*Contact Person: ___________________________________________________________________________________
*Address: _________________________________________________________________________________________
*City: ___________________________________ *State: ___________ *Zip: __________________________________
*Phone: ____________________________________________ Fax: __________________________________________
*Email address of Contact: ___________________________________________________________________________
Website Address: ___________________________________________________________________________________
*Representative #1 Name: ____________________________________________________________________________
*Representative #2 Name: ____________________________________________________________________________
Registration and Fees
Exhibitor Booth Space:
_______ 6’x8’ ($850 Jan. 1, 2015 – Mar. 31, 2015)
_______ 8’x16’ ($1275 Jan. 1, 2015 – Mar. 31, 2015)
ChemEd will provide each booth with a basic set of materials:
 Booth with 8' high back drape and 3' high sides
 One skirted 2'x6' table or 2'x8' table (depending on booth size), two chairs, vendor sign, and
waste basket
Each booth fee will include two (2) ChemEd 2015 exhibitor's registration badges and conference materials for
employees of the exhibitor working at the booth. Exhibitors may present a total of three papers or workshops.
Conference rooms will be available at $100/hour for companies wishing to meet with groups of ChemEd
participants.
Exhibitor Registration – Jan-Mar 2015
ChemEd 2015 Conference
Accommodation Requests
Vegetarian Meals: 
Assistance at Conference (specify): _____________________________________________________________
Other (specify): ____________________________________________________________________________
Event Materials: Braille 
Large Print 
Once your registration has been submitted and payment has been processed, you will receive an email to submit
your company logo and to choose your exhibitor booth location. Booth space will be available on a priority
basis by date of receipt.
Payment
For Debit and Credit Card payments, please visit ccpe.kennesaw.edu/chemed to submit your registration online.
CHECK OR PURCHASE ORDER:
When paying by check or purchase order, print a copy of this registration form and mail, email, and/or fax with
your payment and/or purchase order.
Attendees will receive a registration receipt from Kennesaw State University’s College of Continuing and
Professional Education.
Attendees are not registered for the conference until payment or purchase order is received, AND a receipt from
Kennesaw State University has been issued confirming the registration for the event.
Checks should be made payable to Kennesaw State University.
Send check or purchase order to:
Kennesaw State University
College of Continuing and Professional Education
Attn: Conference Registration
1000 Chastain Rd MD#3301
Kennesaw, GA 30144
Phone: 470-578-6765/ 1-800-869-1151
Fax: 470-578-9085
Email: [email protected]
Cancellation Policy
Cancellations, in writing to [email protected], will be permitted up to March 1, 2015, less a $50
cancellation fee.
For cancellations postmarked after March 1, 2015 but before May 1, 2015, a fee of $150 per booth space will be
assessed. After May 1, 2015, no booth fees will be refunded. If booth space is not occupied four (4) hours prior
to the exhibit opening or the exhibit chairperson has not been notified, the exhibit chair shall have the right to
use the space at their discretion. No refund will be made in this case.
For Conference questions, call 470-578-3677. For Registration questions, call 470-578-3109.