Would You Like To Exhibit At The Rhode Island
Fall 2006 Conference?
The 2006 RIAHPERD Fall Conference is presently being planned. You can print out and mail this form to:
Mike Pucino - RIAHPERD Fall Conference Committee - 188 Briarbrook Drive, Seekonk, MA 02771,
or highlight, copy, and paste it into a Word document and attach it to an email to Mike at: ellie4sun@msn.com.
Name:
Job Title:
Mailing Address:
Telephone Number : Home Work
Fax: Email:
Status: (Non Profit Status has the fee waived, and for profit organizations will be assessed a $100 fee to exhibit.)
Description of product or services:
Target Audience:
Name of Persons Who Will Be Working the Booth: 1.
2.
TOTAL AMOUNT REMITTED: $_______________
Please make check payable to RIAHPERD. In the memo area please put 2006 Conference Exhibitor. Mail to:
Mike Pucino - RIAHPERD Fall Conference Committee - 188 Briarbrook Drive, Seekonk, MA 02771,
or highlight, copy, and paste it into a Word document and attach it to an email to Mike at: ellie4sun@msn.com.