Consortium for Computing in Small Colleges  The Second Annual Northwestern Conference  VENDOR  REGISTRATION FORM

CCSCNW-2000 October 13-14, 2000 Oregon Graduate Institute, Beaverton Oregon

Company: _______________________________ Department:__________________________
Address:_____________________________ City:_______________________________ State:______________ Zip ___________	Email:_______________________________ Phone:______________________________
Names of Vendor's Representatives who will be attending :	_________________________________ ___________________________________   __________________________________
Contact person :   Name __________________________         email: __________________________    telephone: _______________________
		Cost	Number	Amount
Vendor's Registration Fee (includes vendor's exhibit table and  conference nametags for 3)		$150.00	___	$________
Vendor's Demonstration or Presentation Room (includes exhibit table and nametags for 3)		$250.00	___	$________
Additional vendor's representatives beyond the 3 included in registration)		$ 30.00 ea	___	$________
Guest tickets for Saturday luncheon: Guest tickets for Friday dinner:		$10.00 $25.00	___ ___	$________ $________
Copies of Proceedings: Other:		$10.00 $	___  ___	$________ $ ________
Total Amount Paid				$ _______

Will your vendor's exhibition table require electrical power?    Yes _____     No ______

Any other considerations - please list:

Make checks payable to:  Consortium for Computing in Small Colleges

with a notation for CCSCNW 2000

Please remit to:

Dr. Jerry Roth

MSC 2615

Gonzaga University

Spokane, WA 99258-2615