Chicago Homeschool Expo

Exhibitor/Company Name

Number of Booths Requested

Choose amount... 1 2 3 4 5 6 7 8 9 10  @ $500 each
NOTE:  Each exhibit booth is 10’ X 10’ and comes with a draped and skirted 6’ convention table, one chair, a wastebasket, 8’ back drape, and 3’ side drape.

Number of Additional Tables Requested

Choose amount... None 1 2 3 4 5 6 7 8 9 10  @ $25 each

Number of Additional Chairs Requested

Choose amount... None 1 2 3 4 5 6 7 8 9 10  @ $5 each

Electrical Requested (Per booth)

Choose amount... None 1 2 3 4 5 6 7 8 9 10  @ $60 per booth
NOTE:  Unless otherwise requested, electricity will be installed at right end of booth (as you are looking into booth space)

Wireless Internet Connection Requested

 COMPLIMENTARY - PROVIDED BY CONVENTION CENTER!

Reserve Workshops
NOTE:  Fill out workshop information below (Required)

Choose # of workshops... None 1 2  @ $75 each (Limit 2 per exhibitor)

Website Link

Choose link option... Yes No  @ $25 each
Note: Website link will be placed on Expo website and will remain until the next year’s Expo date.

Description of product, services, etc. to be exhibited

Curriculum and Manipulative Exhibitors
(Check all that apply)

   Early Learners
   Elementary
   Middle/High School
   College

Non-Curriculum Exhibitors
(Check all that apply)

   College Representative
   Private Instruction (Tutors, Co-ops, Schools)
   Other topic/non-curriculum

Name for Exhibitor Badges

NOTE:  Four badges per booth. Additional badges are $15/badge and may be purchased here. Badge names can only be changed by written notification no less than 30 days prior to Expo.

Workshop Information: Workshops are one hour, with a fifteen minute break in between each workshop.

Workshop 1 - Title of workshop

Workshop 1 - Name of speaker

Workshop 1 - Speaker’s Bio

Please limit description to 200 words or less.

Workshop 1 - URL to speaker’s picture

Workshop 1 - LCD Projector Requested

Choose option... Yes No  @ $45 each
NOTE: LCD Projector includes speakers.

Workshop 1 - Overhead Projector Requested

Choose option... Yes No  @ $25 each

Workshop 1 - Flip Chart with Easel Requested

Choose option... Yes No  @ $25 each

Workshop 1 - White Board with Easel Requested

Choose option... Yes No  @ $25 each

Workshop 1 - Workshop description

NOTE: Limit workshop description to 150 words or less.

Workshop 1 - Audio tape workshop?

Yes No

Workshop 2 - Title of workshop

Workshop 2 - Name of speaker

Workshop 2 - Speaker’s Bio

Please limit description to 200 words or less.

Workshop 2 - URL to speaker’s picture

Workshop 2 - LCD Projector Requested

Choose option... Yes No  @ $45 each
NOTE: LCD Projector includes speakers.

Workshop 2 - Overhead Projector Requested

Choose option... Yes No  @ $25 each

Workshop 2 - Flip Chart with Easel Requested

Choose option... Yes No  @ $25 each

Workshop 2 - White Board with Easel Requested

Choose option... Yes No  @ $25 each

Workshop 2 - Workshop description

NOTE: Limit workshop description to 150 words or less.

Workshop 2 - Audio tape workshop?

Yes No

Key Contact Person

Phone #

NOTE: This phone number is for our purposes ONLY and will not be published.

Address

City

State

 (Use abbreviation)

Postal Code

Published Phone

Cell Phone

Fax Number

Email Address

NOTE: We will send your confirmation to this address, so please be accurate.

Company URL

Do you have any other questions or comments? Please submit them here.

I acknowledge that everything on this registration form is true and correct, and that I have reviewed it carefully for omissions and/or errors.  I understand that my registration will be made EXACTLY as it is entered here.

   Yes

Authorized by

Title of Above Person

Select Payment Method:
DO NOT FORGET! If payment option is not selected, your registration may not be processed correctly.

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