44th National Adapted Physical Education Conference

Integrate, Innovate, Inspire-“Get IN the Game with APE”

November 19-21, 2015 – Hyatt Regency Orange County (Garden Grove, CA)

APPLICATION TO EXHIBIT

Name of Company: ______

(Print as you would like your sign to read)

Contact Person: ______

Address: ______

Phone: ______

Product(s): ______

Name(s) of Booth Representatives: ______

______

The exhibit area will be located in an area that will generate a steady flow of traffic. One 6’ by 30” table will be provided with a tablecloth and drape, two chairs and a printed sign advertising your company for $225.

Will an electrical outlet be needed? Yes ______No ______(Additional cost of $35.00 per day)

Requesting an additional table? Yes ______No ______(Additional cost of $25.00 per day)

Additional requests?

______

______

On site sale of merchandise is REQUESTED. Requests for the hotel to receive and hold your vendor supplies can be made when you register as a guest with the hotel. The conference room rate at the Hyatt, Garden Grove is $139.00 plus tax, per night. The number for reservations is (714) 750-1234.

Time of exhibit setup: Friday, November 20th from 7:00 am to 10:00 am

Saturday, November 21st from 7:00 am to 8:30 am

All exhibits must be broken down Friday evening by 6:00 pm and all items will be stored in a locked and secure room until set up Saturday morning at 7:00 am.

To ensure space, application with deposit must be received by June 30, 2015.

Mail application with payment to: CAHPERD,1501 El Camino Avenue, Suite 3, Sacramento, CA 95815-2748

or fax to 916-922-0133

Make checks payable to: CAHPERD

Credit Card #
Credit Card Expiration Date (MM/YY)
Name on Credit Card
Signature (required only for credit card transactions)

Enclosed is a deposit of $ ______($50.00 minimum). Balance of $______is due by September 30, 2015.

Email a copy of this application to: Bruce Davey