**Exhibit Spaces are VERY Limited!**
**Deadline for returning Exhibitor Application:
January 15, 2014**
PLEASE FAX COMPLETED FORM TO BASA at 614-846-4081
2014 BASA School Facilities Conference
Exhibitor Application
March 12 & 13, 2014
Doubletree Hotel-Worthington, 175 Hutchinson Avenue,
Columbus OH 43235 Phone: 614-885-3334 Fax: 614-846-4353
Company/Organization:
___________________________________________________________
Contact Name and Title:
___________________________________________________________
Address:
_________________________________________________________________________
City, State, ZIP:
___________________________________________________________________
Phone Number:
____________________________
Fax:
____________________________________
Email:
___________________________________________________________________________
NAMES & TITLES
(WE MUST HAVE TITLES)
of those hosting your booth
(for name tag purposes)
:
1. ___________________________________ 2. ________________________________________
3. ___________________________________ 4. ________________________________________
Booth Cost:
BASA Partners: $500.00
Non-Partners: $1,000.00
Booth Information:
Your booth will include 1 table with 2 chairs. Carpet is not needed. If you require electricity, please
check the box below.
You will be notified of your booth’s placement by February 28, 2014.
Pop-Up Size: Height______ Width_____ Table Size:
6 foot
8 foot
Do you wish for BASA to supply the table for your exhibit?
Yes
No
Electricity Needed?
Yes
No
Meal Tickets:
Each exhibitor will receive 2 complimentary meal tickets for Continental Breakfasts & Lunch. Additional
meal tickets may be purchased at a cost of
$30.00
per person.
Please provide ____ additional meal tickets. Total Cost: $_________________________
Payment Information:
I have enclosed my check for $_________
(Please make checks payable to Buckeye Association of School Administrators)
I would like to be invoiced by BASA
(Note: Payment is due within 30 days of
invoice)
