University of Colorado at Boulder

University of Colorado at Boulder

Accessing Higher Ground:

Assistive Technology and Accessible Media in Higher Education

CU-Boulder University Memorial Center

November 11 – 14, 2003

(Vendor Booths: open on Nov 13 & 14)

Vendor Agreement

Please note: Space is limited, so make your reservations early. We accept checks (payable to the University of Colorado) and VISA or MasterCard (circle card used).

Credit Card # Expiration

Signature for Credit Card

Disability Services Phone: 303-492-8671

University of Colorado FAX: 303- 492-5601

107 UCB, Willard Rm 322

Boulder, CO 80309-0107

Contact name______Title______

Names of others attending:

Email______

Company name______

Address______

Phone______FAX______

Type of product______

Note: Conference center does not supply extension cords, lamps, etc. Please bring all necessary accessories for your exhibit. Vendor booths may be set up anytime after 11:30 am on November 13. The vendor area will be open until 9:00 on Friday, November 14.

Please indicate your display area needs:

Booth rental (8 foot skirted table with chair)

$125.00 before 10/6/03 $_____

$150.00 after 10/6/03 $_____

VCR/TV $25.00

Monitor $30.00 $_____

Extra chair No charge (please circle: Yes No)

Other:______

Total $

Please ensure that you sign the waiver agreement on the next page!

(continued on next page)

Special Vendor Presentations

A vendor presentation area with Internet, lcd projector & screen will be available in the Vendor area. Please choose the time slots you would be interested in conducting a 40 minute product demonstration/presentation. This schedule will be published in the conference agenda. Please note, that the number of time slots allocated will depend on the number of vendors requesting presentation time.

Select Time to Present: / Select Time to Present:
Thurs., 1:00 – 1:40
Thurs., 2:00 – 2:40
Thurs., 3:00 – 3:40
Thurs., 4:00 – 4:40 / Fri., 8:00 – 8:40
Fri., 9:00 – 9:40

Title (for program):

Thursday Evening Reception

There will be a reception with refreshments in the vendor area on Thursday evening, 4:30 p.m. – 6:15 p.m., open to all conference participants.

Please fill out and sign the waiver below as required by our Risk Management Dept.

Hold Harmless Agreement

Re:

The undersigned hereby agrees to indemnify and hold harmless the Regents of the University of Colorado, its officers, administrators, agents, employees and students from and against any and all claims and demands. Indemnification is not limited, and includes any liability or payment (including costs and attorney fees) by reason of any damages of bodily injury (including death) sustained by any person or persons or on account of damage to property including loss or use there of arising out of or in connection with this event.

Name: ______

Signature: ______

Title: ______

Date: ______