2011
Exhibitor Registration WI APSE
WHEN EVERYBODY WORKS WISCONSIN WINS!
2011 Conference Tables will be available on October 4th from 8:00 am – 6:00 pm during the WI APSE Annual Conference at the Osthoff Hotel in Elkhart Lake. To display information about your agency/business, sell items that you make and/or share resources regarding supporting individuals in community employment.
Name: Organization: Description of Organization: Address: City/State/Zip: Phone: Email: Description of what will be at your table and if you will be selling items:
Payment: $100.00 per table (includes skirted table, 2 chairs, and 2 lunches) $25.00 per table for Supported Employees (includes skirted table, 2 chairs, and 2 lunches) $10.00 per additional lunches over the first 2 – please indicate number being purchased Total amount due: Please indicate if you will need Electric
Yes
No
Accommodations or special dietary needs
Deadline: Monday September 15th 2011 (this form and payment must be received by WI-APSE for a table to be reserved.) Please email
[email protected] or call 608-220-4524 with any questions. Please send check payable to WI APSE with this form to: Nancy Molfenter 207 North Street Sun Prairie, WI 53590
