EXHIBITOR REGISTRATION FORM (By invitation only)

Exhibitor Information:      Agency/Prime Contractor:
                                                                    Name:
                                                                 Address:
                                                       City, State, Zip:
                                   Representative(s) Name/Title: 
                                                              Telephone:
                                                                       Fax:
                                                                     Email:
                                                                                               (Enter your information here)
Table Identification Markers/Signs will be provided, as needed.
(Note: Exhibit accommodations will include a display table 6' X 2'; cover & two chairs.  If power is needed bring extension cord and floor tape.  Wireless Internet is available at no charge.)

There is no fee to exhibit; however, there is a $40 per person charge for continental breakfast, luncheon and breaks $40 X 1 2 3 4 = $40 $80 $120 $160

Optional:  November 11th Barter Theatre Performance (state theatre of Virginia)
Heaven Sent showing at 7:45 PM (main stage) Barter Theatre Website:  http://www.bartertheatre.com
$15.00 per person             Choose one 1 ticket $15 2 tickets $30 3 tickets $45 4 tickets $60 None   Reservation deadline October 5, 2009

Please Enter Total Payment Amount DuePayment Due Date is October 5, 2009
Please make your check payable to: SWCC and submit to the address show below. 
Note:  Payment can be made by credit card (Visa/MasterCard) by calling 276-964-7334
                                       
                                  Procurement Technical Assistance Center
                                  Southwest Virginia Community College
                                  P. O. Box SVCC
                                  Richlands, VA   24641-1101
                                  Attn:  Annette Kogut

A room block has been reserved for this event at the Comfort Suites, Abingdon, Virginia I-81 exit 14.  A special rate of $79.00 + tax (single or double-queen).  Event tagged "Small Business Opportunity Fair and Conference"
For reservations, call 276-698-3040.  Deadline for rate is October 9, 2009