Vendor Form

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

Event: 34th Annual One Day Spring Conference
Date: Saturday, March 14, 2009
Location: Middletown High School, Middletown, New York

Company
Name: _________________________________________
Address: _______________________________________
______________________________________________
Telephone: _____________________________________

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

Table Reservations
Fee for 2 tables ($125, including 1 lunch ticket) $___________
Fee for 1 table ($75, including 1 lunch ticket) $___________
Additional Lunches @ $10 per lunch ticket. X $10 = $___________
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, 2008. 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
3617 Whispering Hills
Chester, NY 10918
(845)-469-2019
Email: SRhubin@aol.com