Panhandle Job Fair (Dedicated P3)

Items highlighted in Blue are mandatory

Recall Existing
Registration

Number of People Attending Job Fair

I will be attending the Job Fair

Name First:

Last:

Registration Date:
Amount Owed:

2008/07/25
150

Phone Number 1:		Description 1:
Phone Number 2:		Description 2:
Fax:

Job Title:

Email:
(Please enter only one address)

Company Name:
Company Address:
(Address Continued):

City:
State:		Zip:

Company URL 1 (Include http://):
Company URL 2 (Include http://):

Your $150.00 Registration Fee includes: One (1) Table and Breakfast/Lunch for Two (2) Additional Meals are $10.00 each Please Provide the Following Information:
Additional Meals Requested
What type of display will your company be using?
How many additional tables will your company require? Additional tables are available for $75 each.
Check here if your will need an electrical outlet. (Note: Outlets are on a first-come, first-served basis)

You now have many options to pay for your registration. To pay by credit card or eCHECK, select PayPal on the drop down menu. You do not need a PayPal account to use this feature. How will your company pay for this reservation?

Make Checks and Money Orders payable to:
Panhandle Job Fair Foundation

Payments not received by:
September 10, 2008
will be assessed a $25.00 late fee

Mail Payments to:
Panhandle Job Fair Foundation
PO Box 157
Mary Esther, FL 32569-0157

Please Provide Any Special Requirements.