Exhibitor Form
Wyoming Water Well Association
2012 Convention, Exhibit Show and General Business Meeting
Parkway Plaza, Casper, WY
Wednesday, January 25, through Friday, January 27, 2012
Exhibitor Form
Company_________________________________________________________________________________________________________________________
Name_________________________________________________________________Address___________________________________________________
City, State, Zip___________________________________________________________________________________________________________________
Telephone #_______________________________Email Address_____________________________________________________________________
HOTEL RESERVATIONS: by January 11, 2012
1-800-270-7829
307-235-1777
Ask for Wyoming Water Well block
123 West “ E” Street
Casper, WY 82602
__________I will be attending the Conference & Exhibiting ___________________________________________________Name on badge
__________ I will be bringing ____________guest(s) @ $75/ person________________________________________________Name on badge
Additional badge name(s)__________________________________________________________
EXHIBIT FEE: $ 250
$ 75 additional person with exhibitor
Total Amount Enclosed:___________________________
MAIL THIS FORM WITH FUNDS AND YOUR BUSINESS CARD TO: WWWA
5947 ROAD 32
HAWK SPRINGS, WY 82217
Door Prize(s):
____Yes, I will bring door prize(s) to the convention.
Sponsorship of Breaks:
____Yes, I am interested in sponsoring a break at $150 each
EXHIBITOR Reception, Breakfast , Banquet and luncheon: The Wednesday Night Reception and Thursday morning breakfast will provide you opportunities to visit with loyal customers and new business prospects. Included is the Thursday evening banquet and Friday noon luncheon for one. Additional person fee is $75/person.
Size of
Booth:
8’ X 10’ wide
with clothed and skirted table top display. Electricity available upon
request. Provide your own extension cord.
Set Up:
Wednesday,
January 25, 2:00 p.m.-5:00 p.m. Enclosed room that can be locked for
security.
Tear Down:
Friday,
January 27- by noon
If you have any questions, please contact Marti Hubbs at:, phone 307-788-1530 or email: wywaterwell@actcom.net
