RESC Alliance/ CAS/CSDE Data Showcase Conference

My company would like to exhibit at the EASTCONN/ CSDE/ CAS Data Showcase Conference on  Wednesday, May 13, 2009 at the Holiday Inn Hotel in Waterbury, Connecticut.
Company
Address
 City State ZIP
Company's Web Site

Contact Information for Lead Representative attending the Exhibit

Representative
Rep. Address
 City State ZIP
Rep. Phone
Rep. Email

Person reserving Exhibit Space

Name
Contact Information Phone Email 
.
Please Reserve  

table(s) @ $300.00
Special Requests

  Electrical Outlet :   Wall Space (if available)

Other (specify)    

Total $ Enclosed

EASTCONN  is a non-profit educational organization.   

Federal ID # 06-1023768

Please use your Browser to Print this Application. Return with full payment       

checks made payable to: EASTCONN 

Mail to:

EASTCONN

Attn:Heidi Van Flatern 

Windham Mills BLDG #1

322 Main ST Willimantic CT 06226

Telephone: 860-455-0707 x3013

Email: hvanflatern@eastconn.org