Exhibitor Registration Form

CogSci 98: Registration Form for Exhibitors

PLEASE READ THE INFORMATION FOR EXHIBITORS PAGE, AND THEN CAREFULLY FOLLOW INSTRUCTIONS 1-3 BELOW.

1. TO REGISTER AS AN EXHIBITOR, PLEASE PRINT AND COMPLETE THIS FORM AND RETURN IT WITH A CHECK FOR YOUR FEES TO CONFERENCES SERVICES (ADDRESS BELOW) OR YOU MAY CONTACT CONFERENCE SERVICES TO ARRANGE AN ALTERNATIVE PAYMENT METHOD.

Conference Services
CogSci98 Conference
800 Langdon Street
Madison, WI 53706
Phone: 608-265-6534
Fax: 608-265-8299
Email: cs98reg@macc.wisc.edu

**Please make check payable to Memorial Union/CogSci98.

2. IN ADDITION, PLEASE SEND ONE COPY OF THIS COMPLETED FORM TO SIDNEY RAYNAL (ADDRESS BELOW). THIS WILL HELP THE CONFERENCE CHAIRS BE AWARE OF YOUR REQUESTS AND INSURE THAT YOUR NEEDS ARE MET.

Sidney Raynal
WCER
1025 West Johnson St.
Madison, WI 53706

3. SUPPLY ALL OF THE FOLLOWING INFORMATION:

Company Name:

Name of primary contact person: (name will appear on badge)

Mailing address for contact person:

Telephone:

Fax:

E-mail:

Name(s) of other company representative(s) attending:
(for name badge)

Provide the following information to help with calculating your fee:

A. How many days will your company exhibit :
** do not count Fri, July 31, even if setting up on Friday

B. Number of company representatives attending at $50.00 per person:

C. Number of tables you want to rent at $12.00 per day:

D. Number of tablecloths you want to rent at $3.00 per day per table:

E. Number of table skirts you want to rent at $25 per day per table:

F. Number of tickets to buffet social requested at a cost of $35.00 per ticket:

Calculate your fee:

Cost per person:
B * $50 =
(enter subtotal)

Table rental fee:
A * C * $12 =
(enter subtotal)

Optional tablecloth rental fee:
A * D * $3 =
(enter subtotal)

Optional table skirt rental fee:
A * E * $25 =
(enter subtotal)

Optional tickets to buffet social:
F * $35 =
(enter subtotal)

Total fee =
(add subtotals)

Will you be using electrical outlets (yes or no)?:

**Note that you will need to supply your own extension cords.

If you have any special requests, please list them here:

Company Name:
Name of primary contact person: (name will appear on badge)
Mailing address for contact person:
Telephone:
Fax:
E-mail:
Name(s) of other company representative(s) attending: (for name badge)

A.	How many days will your company exhibit : ** do not count Fri, July 31, even if setting up on Friday
B.	Number of company representatives attending at $50.00 per person:
C.	Number of tables you want to rent at $12.00 per day:
D.	Number of tablecloths you want to rent at $3.00 per day per table:
E.	Number of table skirts you want to rent at $25 per day per table:
F.	Number of tickets to buffet social requested at a cost of $35.00 per ticket:

Cost per person: *B $50** =		(enter subtotal)
Table rental fee: *A C * $12** =		(enter subtotal)
Optional tablecloth rental fee: *A D * $3 =**		(enter subtotal)
Optional table skirt rental fee: *A E * $25 =**		(enter subtotal)
Optional tickets to buffet social: *F $35 =**		(enter subtotal)
Total fee =		(add subtotals)