Please print your name and/or business name the way you would like it listed on our materials:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
E-mail

SPONSORSHIP REGISTRATION

Refer to details on Sponsorship Levels

Please select your Sponsorship Level:

PLATINUM Level                                 ($2500)
GOLD Level                                          ($1000)
SILVER Level                                         ($500)

            Incight Scholarship Sponsor            ($750)
                  Can be selected separately or in
                  addition to Sponsorship Levels above.

EXHIBITOR REGISTRATION

Refer to details on Exhibit Booths

     BOOTH SPACE

        0 1 One Booth Space for PLATINUM Sponsor for Free

        0 1 One Booth Space for GOLD or SILVER Sponsor for $150

        0 1 2 3   Number of Booth Spaces at Regular Rate of $300

        Correct spelling of your company name (for booth signage):
       

       Booth requires electrical power. (If required, please bring
                   extension cord.)

       Internet Access required @ $75

     LUNCHES

        0 1 2 3 4 5 6 Number of Additional Box Lunches @ $21.50 each
                    Note: Two complementary lunches are included with each
                    Booth space reserved above.

     ADVERTISING

      Exhibitors will receive complimentary listing in the Resource Guide
      given to attendees. In addition to this text listing, Exhibitors may also
      purchase space for a display advertisement in the guide.  

         Full Page Display Ad @ $100
               Free to PLATINUM Sponsors

         Half-Page display Ad @ $75
               Free to GOLD Sponsors

         Quarter-Page Display Ad @ $50
               Free to SILVER and Incight Sponsors

         Business Card Sized Ad @ $25

     JOB OPENINGS

          How many job openings do you expect to have at the time
          of the Fair? 

          What types of positions do you expect to have open at the time of
          the Fair?
        

AFFAIR AFTER THE FAIR - A presentation by national diversity expert, Steve Hanamura, who will speak on 5 key business practices and outcomes for growing a diverse workforce that includes disability. Refer to details on Affair After the Fair.

          0 1 2 3 4 5 6 7 8 9 10 Number of Tickets to "Affair After the Fair" @ $25 each
                     Note: Some complementary tickets are included with
                     Sponsorship Packages - PLATINUM (4) - GOLD (2) -
                     SILVER (1)

PLEASE SELECT PAYMENT METHOD:

Secure Online Payment with Credit Card
      (Instructions given on the next page.)

Check payable to Oregon Business Leadership Network

Mail to:
Lucy Baker, Executive Director
Oregon Business Leadership Network
4134 N. Vancouver Avenue, #400
Portland, Oregon 97217

Please Invoice me

If you chose to be Invoiced, please provide Billing Information:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

BEFORE SUBMITTING, PLEASE PRINT THIS PAGE FOR YOUR RECORDS