Exhibitor Agreement Form

YES, my company would like to reserve an exhibit space at the AITP 9th annual National Collegiate Conference April 1-3, 2004 in Omaha, Nebraska at the Omaha Qwest Convention Center.  I have also indicated the names of our exhibitor personnel below for registration badges.

Company Name:__________________________________________________________________

Contact Person:___________________________________________________________________

Title:                    __________________________________________________________________

Address:            ___________________________________________________________________

City/State/Zip:_____________________________________________________________________

Business Phone: ___________________________ Fax:____________________________________

Signature:________________________________________________________________________

Exhibit Staff:     Badge #1:    __________________________________________________________

                        Badge #2:    __________________________________________________________

                        Badge #3:    __________________________________________________________

                        Badge #4:    __________________________________________________________

Special Needs:                     ____ Electrical

                                            ____ Phone Line (additional charge)

                                            ____ Other? ________________________________________________

Fee Schedule: (Check One) ____ $500 by 2/01/2004 Discounted Super-Earlybird Discount

                                            ____ $700 by 3/01/2004 Earlybird Exhibitors

                                            ____ $900 After 03/01/2004 Exhibitors

                                            ____  Complimentary as an event sponsor with my completed Sponsorship Form

Payment:  ____     Our Check is Enclosed

                ____    Send an Invoice for Payment Processing

                ____    Credit Card (Mastercard & VISA Only)   

                            Credit Card:    _____________________________________   Expiration: ________

                            Signature:         _______________________________________________________                                   

*Return/fax the completed form with payment to:     AITP National Collegiate Conference

                                                                               Attn: Sean Gallagher

                                                                               401 North Michigan Avenue, Suite 2400
                                                                               Chicago, IL 60611-4267