Vendor Form

Ten County Mathematics Educators Association
Columbia Delaware Dutchess Greene Orange Putnam Rockland Sullivan Ulster Westchester

Event: 37th Annual One Day Spring Conference
Date: Saturday, March 10, 2012
Location: Tappan Zee High School, Orangeburg, New York

Company
Name: _________________________________________
Address: _______________________________________
______________________________________________
Telephone: _____________________________________

Representative
Name: _________________________________________
Address: _______________________________________
______________________________________________
Telephone: _____________________________________
Email: _________________________________________

Table Reservations
Fee for 2 tables ($150, including 2 lunch tickets) $___________
Fee for 1 table ($100, including 1 lunch ticket) $___________
Additional Lunches @ $20 per lunch ticket. x $20 = $___________
Total Amount Due $___________

Complete if interested in donating:

Raffle Prizes
Prizes for First Year Teachers
Sponsoring an Event
Please indicate if you need an electrical outlet: YES or NO

If interested in advertising in the conference program, submit print ready ads no later than January 15, 2012. Fee for a half page (5.5" high by 4.25" wide) advertisement is $50.

Please return this vendor form along with a check made payable to Ten County Mathematics Conference to:
Ms. Stacy Rhubin
6 Second Street
Walden , NY 12586
(845) 713-4560
Email: SRhubin@aol.com