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Exhibitor Registration Form |
Please mail or fax to:
Dennis Stephens, AkLA Exhibits
Rasmuson Library UAF, POB 756800, Fairbanks AK 99775-6800
Tel: (907) 479-5826
Fax: (907) 474-6841
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| Company/firm/association name: |
| Representative(s) who will attend:
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| Exhibitor contact person: |
| Address: |
City/State/Zip: |
| Phone: |
Fax: |
Email: |
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| Win Big Prizes: Since what year has your firm exhibited consistently at AkLA? |
| Exhibitor Registration Fees: |
Amount |
No. of Tables |
Total Amount |
| AkLA Commercial Membership 2004 |
$50 |
N/A |
=___________ |
| Commercial Exhibit AkLA Member |
$290 |
x___________ |
=___________ |
| Commercial Exhibit AkLA Non-member |
$365 |
x___________ |
=___________ |
| Affliliate Association, State Agency etc. (table rental pass-through charge) |
$20 |
x___________ |
=___________ |
| Late Registration (postmarked or faxed March 06, 2004 or later) AkLA Member |
$350 |
x___________ |
=___________ |
| Late Registration (postmarked or faxed March 06, 2004 or later) AkLA Non-member |
$425 |
x___________ |
=___________ |
| Unattended Tables AkLA Member |
$325 |
x___________ |
=___________ |
| Unattended Tables AkLA Non-member |
$400 |
x___________ |
=___________ |
Two vendors may share a table. Check here _____ and halve the above fees. Each is responsible for the appropriate fee.
Sharing with: |
Subtotal Registration Fees: |
$___________ |
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| Utilities etc. Please check your requirements:
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____Extension cord needed (week's advance notice required). Electrical outlets are ubiquitous but first come, first served.
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____Analog ____Digital phone line needed. (Limited number of jacks available; first come, first served. Please give two weeks' notice.)
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____Wireless access needed. Access is provided through a Linksys network (www.linksys.com). If your computer wireless is not compatible with Linksys, you'll need to purchase a Linksys card, available at the hotel.
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____ Will ship materials to the Princess. Please be sure they arrive no earlier than March 18. The onsite person's name, firm, and "AkLA Conference" should be clearly visible on labels.
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____ Drayage service needed for out-shipment.
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Donations to any of the following will be gratefully accepted and acknowledged:
Event |
Bronze
$100 |
Silver
$250 |
Gold
$500 |
Total Donations |
| Printing the Conference Program |
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| Coffee Breaks |
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| Transportation to and from AkLA Events |
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| Other event and amount of donation |
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| Subtotal Donations |
$ |
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| Tours: Circle your choices. See program (http://akla.org/fairbanks2004/2004tour.html) for full descriptions.
Tour |
SCBWI or AkLA Member |
Non-member |
Total Amount |
| Ft. Knox goldmine tour Thursday (T-1) |
$30.00 |
$30.00 |
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| Free library tours Thursday 1-4 pm (circle one)
- Public libraries (T-2)
- Special libraries (T-3)
- University libraries (T-4)
- School libraries (T-5)
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$0.00 |
$0.00 |
$0.00 |
| Campus Corner Mall tour Sunday (T-6) |
$15.00 |
$15.00 |
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| Downtown Fairbanks tour Sunday (T-7) |
$15.00 |
$15.00 |
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| Chena Hot Springs overnight tour (see program,
(Sun/Mon. Mar.28/29) (T-8)
circle bed type: [Double] [Queen] |
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| Subtotal Tours |
$ |
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Meals. Circle your choices.
Thursday
- Box Lunch (circle one): turkey or vegetarian.....$15.50
Friday-Saturday Box lunches can be ordered directly from Princess Lodge. Forms will be available onsite.
Friday
- Continental Breakfast Buffet.....$11.50
- State of the State “Budget” Luncheon
- Caesar Salad (no meat).....$10.50
- Soup and Turkey & Ham Sandwich.....$12.00
- Awards Banquet
- London Broil.....$21.00
- Herbed Mushroom Lasagna.....$19.00
Saturday
- Continental Breakfast Buffet.....$11.50
- Lunch with Children’s Authors
- Oriental Chicken Stir Fry.....$15.50
- Fettuccini Primavera.....$14.00
- Dinner with Authors for Adults
- Halibut Olympia.....$27.00
- Chena Chicken (with mushroom and crab).....$23.50
Sunday
- Princess Brunch Buffet.....$26.00
- End-Note Luncheon
- Chicken Dijon.....$17.50
- Fall Classic Salad (pear, walnut, blue cheese).....$12.00
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Subtotal Meals :___________________ |
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TOTAL PAYMENT DUE: ___________________ |
Method of Payment:
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