Held April 19, 2012 at St. Mary's Parish Life Center
         Items highlighted in Blue are Required		 Recall Existing  
Registration   		   
Number of People Attending Job Fair
Name First: Last: Registration Date: 
Amount Owed: 		2012/02/05
175
 
Phone Number 1: Description 1:
Phone Number 2: Description 2:
Fax:    
Job Title:
Email:
(Please enter only one address)
Company Name:
Company Federal ID Number: (No Dashes)
Company Address:
(Address Continued):
City:
State: Zip:
Company URL:
Company URL 2:

Your Registration Fee includes:
One (1) Table and Breakfast/Lunch for Two (2) and Wireless Internet

Additional Meals are $15.00 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?
We suggest no more than two representatives per table.
Additional tables are available for
$75 each per session.
Check here if you will need an electrical outlet.
(Note: Outlets are on a first-come, first-served basis)
Check here if you will need an ADDITIONAL electrical outlet.
(Note: Outlets are on a first-come, first-served basis)

Select Pay Pal on the drop down menu
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:
7 days prior to the event
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.