25th Annual Region VI Pretreatment Workshop
August 3-6, 2009
Exhibitor Registration Form
Name:_______________________________ Name on Badge____________________________
Title:_________________________________________________________________________
Organization: __________________________________________________________________
Address:______________________________________________________________________
City: ____________________________ State: _____________________Zip:_______________
Telephone:____________________________
Additional organization representatives:
Name:_______________________________ Name on Badge____________________________
Name:_______________________________ Name on Badge____________________________
Indicate support level:
$ Booth @ $350.00 (6-8 ft. Table, 1 Chair, and Draping)
Check this box if electricity is requested. There will be an additional $65 charge.
$ Break Session Sponsor: Minimum of $500 (Poster will be displayed listing the sponsorships.
Sponsorship will be listed in workshop handout booklets and on the workshop CDRom).
$ Meet & Greet Sponsor: Minimum of $500 (Poster will be displayed listing the sponsorships.
Sponsorship will be listed in workshop handout booklets, and on the workshop CDRom).
Please mail this registration form and total check payable to the Region VI Pretreatment Association no later than June 5, 2009 to:
Mr. Raymond Schindler
Region VI Pretreatment Association
c/o Veolia Water, Kenner
P.O. Box 730
Kenner, LA 70063
Bus. Tel: 504-468-7292 * Cell: 504-234-2148
Disclaimer: The U.S. Environmental Protection Agency (EPA) is sponsoring this event in cooperation with the Region VI Pretreatment Association. Neither the EPA, nor its co-sponsors recommend any particular firm, process, or product. Furthermore, the Agency is not affiliated with the activities outside of this event (such as mixers, hospitality rooms, or other social events); other activities are not sanctioned or supported by the EPA.