Environmental Summit Exhibit/Poster Registration - Administrative Services

Exhibit/Poster Registration Form

Only for exhibitors and poster presenters, not necessary for attendees.
Please submit this form by March 23, 2012. If you have any questions about this form or registration, please contact Linda Lee Blaine at LL-Blaine@wiu.edu.

There is no fee to register or to have an exhibit.

Contact Information

Organization:
Contact Person:
Address:
City:	State:
Zip Code:
Phone Number:
Email Address:

Exhibit Information

Title:
Description:
Names of Exhibitor(s) (up to four)

Poster Information

I will present/bring a: Poster Only Exhibit Only Exhibit and Poster
Title/Poster Dimensions

Equipment Needed

Number of Tables Requested (check one): 1 2 Extra Space If Extra Space requested, how much and why:
Do you need electricity? Yes No
Free Wi-Fi will be available.
Questions or Comments

Student Sustainability Awards

I am interested in donating to the Student Sustainability Awards

For more information, contact:

Mindy Pheiffer, Program Coordinator
Horn Field Campus
Western Illinois University
Phone: (309) 833-5798
Fax: (309) 837-4676
Email: MJ-Pheiffer@wiu.edu

For registration questions, contact:

Linda Lee Blaine
IIRA
Western Illinois University
Phone: (309) 298-2647
Fax: (309) 298-2142
E-mail: LL-Blaine@wiu.edu

WIU Environmental Summit

The 2012 Environmental Summit is over. Please check back later for information about next year's event.

Western Illinois University: Macomb Campus

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