YOU ARE REGISTERING FOR THE
2012 CHICAGO HOMESCHOOL EXPO

This registration for exhibit space is for the purchase of exhibit space and shall be provided by the Home Educators Encouragement Alliance (HEEA) in accordance with the conditions and regulations governing the exhibits of the conference.  By submitting this registration, you agree to all the conditions/regulations listed here.

IMPORTANT: Information from this registration appears in the Chicago Homeschool Expo Directory EXACTLY as it is listed below. This includes Exhibitor/Company Name and URL.

Payments: Credit card payments accepted via Paypal or checks made payable to Chicago Homeschool Expo and mail to Chicago Homeschool Expo, 885 Woodstock Rd, Ste. 430-142, Roswell, GA  30075.

Exhibitor/Company Name

Number of Booths Requested

 @ $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

 @ $25 each

Number of Additional Chairs Requested

 @ $5 each

Electrical Requested (Per booth)

 @ $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)

Available! @ $75 each (Limit 2 per exhibitor)

Website Link

 @ $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


NOTE: This information will be listed on the website to on the Exhibitors' page. 100 words or less.

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

 @ $45 each
NOTE: LCD Projector includes speakers.

Workshop 1 - Overhead Projector Requested

 @ $25 each

Workshop 1 - Flip Chart with Easel Requested

 @ $25 each

Workshop 1 - White Board with Easel Requested

 @ $25 each

Workshop 1 - Workshop description


NOTE: Limit workshop description to 150 words or less.

Workshop 1 - Audio tape workshop?

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

 @ $45 each
NOTE: LCD Projector includes speakers.

Workshop 2 - Overhead Projector Requested

 @ $25 each

Workshop 2 - Flip Chart with Easel Requested

 @ $25 each

Workshop 2 - White Board with Easel Requested

 @ $25 each

Workshop 2 - Workshop description


NOTE: Limit workshop description to 150 words or less.

Workshop 2 - Audio tape workshop?

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.