Forum 2010 Exhibitor Brochure Web

8/14/2019 Forum 2010 Exhibitor Brochure Web

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InterActions

FORUM 2010m o v i n g a t t h e s p e e d o f c h a n g e

June 2-4, 2010Walter E. Washington Convention Center

Washington, D.C.

Exhibitor andSponsor

Information


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InterAction Members

Academy for Educational Development

Action Against Hunger USA

ActionAid International USA

Adventist Development and Relief Agency International

(ADRA)

African Medical & Research Foundation

African Methodist Episcopal Service and

Development Agency (AME-SADA)

Africare

Aga Khan Foundation USA

Aid to Artisans

Air Serv International

Alliance for Peacebuilding

Alliance to End Hunger

American Friends Service Committee

American Jewish Joint Distribution Committee

American Jewish World Service

American Near East Refugee Aid

American Red Cross International Services

American Refugee Committee

AmeriCares

Americas Development Foundation (ADF)

Americas ReliefTeamAmigos de las Amricas

Ananda Marga Universal Relief Team

Baptist World Alliance

Bnai Brith International

BRAC USA

Bread for the World

Bread for the World Institute

Brothers Brother Foundation

Buddhist Tzu Chi Foundation

Campaign for Innocent Victims in Conict (CIVIC)

CARE

Catholic Relief Services

Center for Health and Gender Equity (CHANGE)

Center for Women Policy Studies

Centre for Development and Population Activities (CEDPA)

CHF International

ChildFund International

Christian Blind Mission (CBM)

Christian Reformed World Relief Committee (CRWRC)

Church World Service

Citizens Network for Foreign Aairs

Communications Consortium Media Center

Concern America

CONCERN Worldwide U.S., Inc.

Congressional Hunger Center

Counterpart International

Development Gateway

Direct Relief International

Easter SealsEducational Concerns for Hunger Organization (ECHO)

Education Development Center (EDC)

Episcopal Relief & Development

Ethiopian Community Development Council

Family Care International

Floresta

The Florida Association of Volunteer Action in the

Caribbean and the Americas (FAVACA)

Food For The Hungry

Friends of ACTED

Friends of the World Food Program

Gifts In Kind International

Giving Children Hope

Global Fund for Children

Global Health Council

Global Links

Global Resource Services

Goodwill Industries International

Habitat for Humanity International

Handicap International USA

Hands On Disaster Response

HealthRight International (formerly Doctors of the

World-USA)

Heart to Heart International

Heartland Alliance

Hebrew Immigrant Aid Society

Heifer International

Helen Keller International

HelpAge USA

Holt International Childrens Services

Humane Society International (HSI)

The Hunger Project

Information Management and Mine Action

Programs (IMMAP)

INMED Partnerships for Children

InsideNGOInstitute for Sustainable Communities

International Fund for Animal Welfare

International Catholic Migration Commission (ICMC)

International Center for Not-for-Prot Law

International Center for Religion and Diplomacy

International Center for Research on Women (ICRW)

International Crisis Group (ICG)

International Foundation for Electoral Systems (IFES)

International Housing Coalition (IHC)

International Medical Corps

International Medical Health Organization (IMHO)

International Orthodox Christian Charities (IOCC)

International Reading Association

International Relief & Development

International Relief Teams

International Rescue Committee (IRC)

International Social Service United States of America

Branch, Inc

International Youth Foundation

Interplast

Islamic Relief USA

Joint Aid Management (JAM)

Jesuit Refugee Services USA

Keystone Humane Services International

Korean American Sharing Movement

Latter-day Saint Charities

Life for Relief and Development

Lutheran World Relief

Management Sciences for Health (MSH)MAP International

Medical Care Development

Medical Emergency Relief International (Merlin)

Medical Teams International

Mental Disability Rights International

Mercy Corps

Mercy USA for Aid and Development

Mobility International USA

National Association of Social Workers

National Council of Negro Women

National Peace Corps Association

National Wildlife Federation

ONE Campaign

Operation Blessing International Relief and Development

Corporation

Operation USA

Opportunity International

Oxfam America

Pact

Pan American Development Foundation

PATH

Pathnder International

PCI-Media Impact

Perkins International

Physicians for Peace

Plan USA

Planet Aid

Population Action International

Population Communication

Presbyterian Disaster Assistance and Hunger Program

Project C.U.R.E.

Project Concern International

ProLiteracy

Refugees International

Relief International

Resolve UgandaRESULTS

Rural Development Institute

Salvation Army World Service Oce

Save the Children

Seva Foundation

SHARE Foundation

Sierra Club

Society for International Development (SID)

Solar Cookers International

Solidarity Center

Stop Hunger Now

Support Group to Democracy

Transparency International USA

Trickle Up Program

Unitarian Universalist Service Committee

United Methodist Committee on Relief

United Way Worldwide

USA for UNHCR

U.S. Climate Action Network (USCAN)

U.S. Committee for Refugees and Immigrants

U.S. Committee for UNDP

U.S. Fund for UNICEF

VAB (Volunteers Association of Bangladesh)

Water Aid America

WellShare International

Winrock International

Women for Women International

Womens Environment and Development Organization

Women Thrive WorldwideWorld Cocoa Foundation

World Concern

World Conference of Religions for Peace

World Hope International

World Learning

World Neighbors

World Rehabilitation Fund

World Relief

World Resources Institute (WRI)

World Society for the Protection of Animals

World Wildlife Fund

World Vision

(as of 02/4/10


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Dear Exhibitors & Sponsors,

2010MARKS 26 YEARS OF THE INTERACTION FORUM, Aconvening space for the international development and

humanitarian community. In 2009, a thousand profes-sionalsrepresenting over 250 public, private and non-governmental organi-

zationsparticipated in the annual Forum, taking advantage of the numerousopportunities to learn, network and engage on issues of critical importance totheir work. The InterAction Forum each year brings together individuals from avariety of sectors in one of the largest gatherings of development professionalsin the country.

In a recent speech on the elevation of development in U.S. foreign policy, Secretary of State HilaryClinton noted, Development was once the province of humanitarians, charities, and governments

looking to gain allies in global struggles. Today it is a strategic, economic, and moral imperativeas

central to advancing American interests and solving global problems as diplomacy and defenseBecause development is indispensible, it does demand a new approach suited for the times in whichwe nd ourselves.

This year, InterAction looks forwardto a new decade, and a new period of history. The worldand the NGO communityis on the rebound after a devastating nancial crisis, and the opportuni-ties for growth, advancement and success in alleviating poverty abound. The changes in technol-ogy, business, the public and politics have presented us with great possibility, and this Forum, the

theme of which is Moving at the Speed of Change, aims to look at how the NGO community andits partners can harness those changes in their programs, to better impact the lives of the poorest.

In that same speech, Secretary Clinton went on to note that, Networks of NGOs like InterAction bringtheir own resources, deep knowledge and commitment to humanitarian missions that complement ourwork in critical ways. This years forum takes on new importance and depth of meaning in light of theopportunities facing our community. As a valued partner in ending extreme poverty around the world,we warmly invite you to register as an exhibitor and sponsor at the 26 th InterAction Forum.

This year, we are excited to hold the forum for the rst time at the Walter E. Washington ConventionCenter, in downtown Washington, D.C. We hope that this brochure will provide the information youneed about the opportunity, and our Membership Team remains available to answer any questionsyou may have. In recent years, exhibitor spaces have sold out quickly, so we encourage you to regis-

ter early as space is limited.

We do hope to see you in June,

Samuel A. Worthington

President & CEO

InterAction

Questions? Contact Taina Alexander, [email protected]


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W

E ARE PLEASED TO INVITE YOU

to exhibit at the 2010 InterAction

Forum June 24 at the Walter E.

Washington Convention Center, located

at 801 Mount Vernon Place, Washington,

D.C. Forum 2010 will feature a new exhibitor

layout in two adjacent halls, directly

opposite our plenary session hall. The

exhibits will be open during specic times

with exhibits-only hours on Wednesday,

Thursday and Friday. Special activities

and networking opportunities including

a continental breakfast, reception, Artisan

Trade Fair, scavenger hunt and raes will

take place in the exhibitor halls to allow for more visibility and greater opportunities for information sharing and promotion.

This years exhibit choice will include table top and pipe & drape booth options.

As part of our eorts to improve your visibility we will have the following

additional activities to draw attention to the exhibit halls:

WEDNESDAY, JUNE 2

Happy Hour and Scavenger Hunt

THURSDAY AND FRIDAY, JUNE 34

Trade Fair of members arts and crafts from the eld

THURSDAY AND FRIDAY, JUNE 34

Raes subject to sucient interest from the exhibitors

Exhibitor Program


4

Exhibit TimesSET UP: Wednesday, June 2 12 noon3:00 PM

TEAR DOWN: Friday, June 4 12 noon2:00 PM

Exhibits Open Exhibits Only

Wednesday, June 2 4:00 PM8:00 PM Happy Hour 5:00 PM8:00 PM

Thursday, June 3 12:00 noon4:30 PM 1:00 PM4:00 PM

Friday, June 4 8:0012 noon Continental Breakfast 8:0010:30 AM

PhotocourtesyofKarlGrobl

PhotocourtesyofDarcyKiefel,

www.k

iefelphotography.com


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Exhibitor FeesInterAction Members

Options Fees

Single Table Top $800

Double Table Top $1,100

Booth Pipe and Drape $1,450

NonMembers/NonProt Organizations

Options Fees

Single Table Top $1,200

Double Table Top $1,300Booth Pipe and Drape $2,000

Corporate

Options Fees

Single Table Top $1,600

Double Table Top $2,000

Booth Pipe and Drape $2,500

*Additional furniture can be obtained from our exhibitor decorator, Freeman Co.

Fees include one exhibit space (booth or table top) with 6 table,

two chairs and a wastebasket*, one all access registration (inclusive

of conference meals) and organizations name in the exhibitor

page of the Forum Program and on the special InterAction Forum

Exhibitor/Sponsorship website. Exhibitors are able to purchase

additional full access conference registration at a 15% discount of

current registration rate. Passes for additional booth personnel

with full access registration to the exhibit area ONLY (not inclusive

of conference meals) may be purchased separately for $20 each in

advance or for $25 each at the door.

Individual tickets may be purchased for the Gala Dinner for $100

each. One ticket is automatically included with your exhibit

registration. If you are interested in purchasing a full table for 10

people, please contact Taina Alexander, [email protected]

All registration forms and payments must be received on or before

April 30, 2010. Exhibit space is limited and will be assigned on a

rst-come, rst-served basis. If all the spaces are sold, you may be

placed on a waiting list. Forum 2009 exhibitor spaces were sold

out early. Registration will be conrmed via e-mail within three

working days; space assignments will be e-mailed on or before May

14, 2010. Within two working days of the receipt of your registration

your organizations/companys name will be publicized on the special

InterAction Forum Exhibitor/Sponsorship website.

Registration Deadlines

Exhibit Space


Exhibit space will be assigned on a rst-come, rst-served basis. See the oor plan on page 10. A map of the available

exhibitor space will be available on our website and will be updated regularly with sold spaces to indicate vacancies.

Please allow at least two business days for your space assignment to be reected on the online map.

PhotocourtesyofDarcyKiefel


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6Questions? Contact Taina Alexander, [email protected]

Sponsorship Opportunities

Corporate Sponsorship Opportunities Non-Prot Sponsorship Opportunities

Diamond Level $ 100,000 Diamond Level $ 80,000

Platinum Level $ 75,000 Platinum Level $ 50,000

Gold Level $ 50,000 Gold Level $ 30,000

Silver Level $ 25,000 Silver Level $ 15,000

Bronze Level $ 15,000 Bronze Level $ 5,000

We oer special Sponsorship Packages with various levels of support that provide excellent visibility for your

organization. See the chart below for individual levels of Sponsorships.

BRONZE LEVEL PARTNERBronze Level Partners will receive the following sponsorship benets:

Single Table top exhibit: 6 foot skirted table with back drape, 2

chairs and 1 wastebasket

Pre- and post-event registration list (e-mail)

Company description in Forum Program (150 words max)

Registration for two company representatives

Company Logo and link to website on the InterAction website

Insert yer provided by you for all conference attendee tote bags.

(must be received no later than May 14, 2 010)

SILVER LEVEL PARTNER

In addition to the Bronze Level Partner package as listed above, SilverLevel Partners will receive the following sponsorship benets:

One of the following or similar items in attendee registration bags.

Items must be provided no later than May 14, 2010

Ballpoint Pen

Flash Drive

Note Pad

Calculator

Half-page, full-color advertisement in post-Forum issue ofMonday

Developments

GOLD LEVEL PARTNERIn addition to Bronze Level Partner package, Gold Level Partners will

receive the following sponsorship benets:



Ballpoint Pen

Flash Drive

Note Pad

Calculator

Company recognition during any one breakfast during conference

dates

Full-page, full-color advertisement in post-Forum issue ofMonday

Developments

PLATINUM L EVEL PARTNERIn addition to the Bronze Level Partner package, Platinum Level

Partners will receive the following sponsorship benets:



Ballpoint Pen

Flash Drive

Note Pad

Calculator

Company banner and recognition during any one reception

during the conference dates, provided we know of your

sponsorship by April 1, 2010. Logos must be received before April

15, 2010 Full-page, full-color advertisement in post-Forum issue ofMonday

Developments

DIAMOND LEVEL PARTNERIn addition to the Bronze Level partner package, Diamond Level

Partners will receive the following sponsorship benets:

Your one color logo* on our tote bag, provided we know of your

sponsorship by April 1, 2010. Logos must be received before April

15, 2010

Company name and logo on large screen and recognition at the

plenary dinners throughout the conference

Full-page, full-color advertisement in post-Forum issue ofMonday

Developments

ADDITIONAL SPONSORSHIP OPPORTUNITIESYour organization may choose to sponsor any of the following

special events: Breakfast with Exhibitors, Exhibitor Happy Hour

Networking Reception and Gala Reception.

Please contact Taina Alexander, [email protected] for further

details about these opportunties.

*restrictions apply

6


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Advertising Opportunities

As a cost eective way to reach 1000 attendees at the InterAction Forum, exhibitors may purchase advertising

space in the ocial conference program.

ADVERTISEMENT IN FORUM 2010 PROGRAM

Size Dimensions Price

Page 3 x 5 $300

Page 7 x 5 $450

Full-Page 7 x 10 $600

Format .TIF, .EPS or .PDF les

ModeCMYK

Resolution300 dpi (minimum)

Payment must be received in full at the time of registration.

Registration and artwork must be received by April 30 to be featured

in the conference program. Please submit your ads to Katherine

Delaney at [email protected]

We also encourage you to submit an advertisement to InterActions monthly magazine, Monday Developments.

If you opt to advertise in our special issue that will be distributed at the 2010 Forum, please contact Katherine

Delaney at [email protected] and send her your camera-ready ad by April 30.

Note:Complimentary advertising space is included in some Sponsorship packages. Please see sponsorship benets on

page 6. Monday Developments will be distributed at the Forum as well as to up to 10,000 monthly readers. Discounts

will be oered if you choose to run in multiple issues of Monday Developments throughout the year.

ADVERTISEMENT IN MONDAY DEVELOPMENTS MAGAZINE

Size Dimensions Price

Full-Page 7.125 x 9.5 $1,725

Page 7.125 x 4.626 $1,040

1/3 Page (square) 4.5 x 4.5 $860

1/3 Page (vertical) 2.25 x 9.5 $860

Page 3.5 x 4.625 $725

Back cover (half page) 7.125 x 9.5 $1,130

File Format - .TIF, .EPS or .PDF les are acceptable

ModeCMYK

Resolution300 dpi (minimum)



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Exhibitor acknowledges that neither the Walter E. Washington Convention Center nor InterAction maintain

insurance covering each Exhibitors property and that it is the sole responsibility of each exhibitor to obtainoutside insurance if deemed necessary. Please make sure your materials are insured from the time they leave

your organization until they are returned after the Forum.

Cancellation & Refunds

Shipping Information

All cancellations must be submitted in writing to

InterAction. Please refer to the chart on the right forexhibitor refund policies.

Shipping and handling of all exhibit materials to the Walter E. Washington Convention Center must be arranged

directly with our decorator, Freeman Co. in advance, for an additional fee. For more information on any

advance discounts, pricing and other exhibitor services provided by Freeman Co., please log on to our exhibitor

homepage on our website at www.interaction.org/forum-exhibitors, or contact Freeman Co.

Cancellation Period Refund*

On or Before April 30, 2010 50%

After April 30, 2010 0%

*All refunds listed above are a percentage of the booth price

only. No refund for additional booth passes.


8

Insurance & Liability



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A/V equipment can be obtained from our service

provider, Projection Presentation Technology,for an additional fee. A downloadableAudio Visual

Order Request Form is available on the exhibitor

homepage on our website at http://www.

interaction.org/forum-exhibitors. Completed forms

should be sent to [email protected].

Should you have any questions, please contact:

Dave Disspain

E-mail: [email protected]

Phone: 202-249-3700

High-speed internet and telephone services

can be obtained from SmartCityfor an additional

fee. A downloadable High-Speed Internet

and Telephone Request Form is available on

the exhibitor homepage on our website at

http://www.interaction.org/forum-exhibitors.

Completed forms should be sent to SeKisha D.

Brown at [email protected] or faxed to her

attention at 202-249-3801.

Should you have any questions, please contact:

SeKisha D. Brown

E-mail: [email protected]

Electrical services can be obtained from Hi-Tech Electricfor an additional fee. A downloadable Electric Form isavailable on the exhibitor homepage on our website at http://www.interaction.org/forum-exhibitors. Completed

forms should be sent to Pre Show (CA) at [email protected] or faxed to 510-293-6155.

Should you have any questions, please contact [email protected], via phone at 202-249-

3600 or via fax at 202-249-3601.


Audio-Visual & Other Equipment


PhotocourtesyofKarlGrobl,www.karlgrobl.com


10/12

Exhibit Hall Layout

Yellow = Pipe and Drape Booths Blue = Table Top Orange = Refreshment Area


10

B1

B

2

B3

B4

B5

B6

B7

B

8

B9

B10

B11

B12

B13

B1

4

B15

B16

B17

B18

B19

B20

B21

B22

B23

B24

T-7

T-1

1

T-1

6

T-1

T-2

T-3

T-4

T-5

T-6

T-8

T-9

T-1

0

T-1

2

T-1

3

T-1

9

T-2

0

T-2

1

T-2

2

T-2

3

T-2

4

T-1

8

T-1

7

T-1

5

T-1

4

T-2

5

T-2

6

T-2

7

T-2

8

T-2

9

T-3

0

T-3

1

T-3

2

T-3

3

T-3

4

T-3

6

T-4

2

T-4

3

T-4

4

T-4

5

T-4

6

T-4

7

T-4

0

T-3

9

T-3

8

T-3

7

T-3

5

T-4

1

T-4

8

Entrance

Room 147 Room 145

Entrance Entrance Entrance



Exhibit Halls are located directly opposite the plenary space.

Download a PDF of the convention center map at http://www.interaction.org/forum-exhibitors


11/12

INFORMATION Fi rst Name _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ La stName _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Asyouwishtoappearonyournametagattheorum

Title _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Organization _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_

q Member q Non-membernon-proft q Corporate&Govt Address _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ City _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ State _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |Zip_ |_ |_ |_ |_ Tel _______________ Fax _______________ Email _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Registrationconfrmationwillbesentviaemail

BOOTHOPTIONSCheckone: q InterActionMembers

q Non-members/Non-proftOrganizations

q Corporate&Government

Checkone:

q SingleTableTop q DoubleTableTop q BoothPipe&Drape

BEASPONSORATTHEINTERACTIONFORUMCorporate&GovernmentPackages Non-proftPackages

q Diamond($100,000) q Diamond($80,000)

q Platinum($75,000) q Platinum($50,000)

q Gold($50,000) q Gold($30,000)

q Silver($25,000) q Silver($15,000)

q Bronze($15,000) q Bronze($5,000)

AdditionalSponsorshipOpportunitiesq OurForumprogramallowsoradditionalsponsorshipopportunities,

customizedtoenhanceyourorganizationsvisibility.Pleasecheckthisbox

iyouwouldliketoreceivemoreinormationonadditionalsponsorship

opportunitiesavailabletoyourorganization.

ADVERTISINGOPPORTUNITIESAdvertiseintheForum2010Program AdvertiseinMondayDevelopments

q 1/4Page($300) q 1/4Page($725)q 1/2Page($450) q 1/3Page($860)

q FullPage($600) q 1/2Page($1,040)

q Backcover(1/2Page)($1,130)

q FullPage($1,725)

MEALS&FUNCTIONSMEALSATTHEFORUMAREORDEREDBASEDONYOURSELECTIONBELOW.

Aspartooureortstoreducetheamountooodwasted,weaskthatyouONLYselect

mealsyouwilldefnitelyattend.Functionsthatincludemealsarelistedinboldletters.

Wednesday,June2 Thursday,June3 Friday,June4

q OpeningPlenary q CAW Plenary Breakfast q Exhibit Hours Breakfastq Networking Luncheon q Plenary Luncheon q Closing Plenary Luncheon

q PlenarySess ion q Gala Reception q WorkshopsOnly(nomeals)

q Exhibit/Happy Hour q Gala Dinner

q WorkshopsOnly(nomeals) q WorkshopsOnly(nomeals)

ADDITIONALFULLCONFERENCEREGISTRATION

Needextratickets?GALAPLENARY&AWARDSBANQUET

q FullTable(9Additionalseatsor$800)

q AdditionalSeat

Ticketsare$100each.Howmany?_____

TOTAL$___________

SPECIALACCOMMODATIONS q Ipreervegetarianmeals q Ihavespecialneeds q Pleaseexplain:______________________________________

BOOTHPERSONNELPASSES Fi rst Name _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ La stName _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Title _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Organization _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_

Fi rst Name _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ La stName _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Title _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Organization _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_Therewillbe$20chargeoreachadditionalboothpersonnel.Pleaseincludeinyourtotalpayment.

PAYMENTINFORMATIONq

VISAq

MasterCardq

AmericanExpress CardHolders Name _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Credit CardNumber _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ ExpirationDate ____/____/______ CardHoldersSignature __________________ Date ____/____/______

MakecheckspayabletoInterActionBesuretowriteEXHIBITORPROGRAMinthememofeld.Sendpaymentsto:

InterAction,Attn:ForumRegistrar

140016thStreet,NW,Suite210

Washington,DC20036USA

Tel:1.202.667.8227

Forum 2010 Exhibitor Registration Form

q Pleaseindicateyourpreerenceorboothlocation:

1st_____________2nd_____________3rd_____________

FullName _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ FullName _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_|_|_|_|_Title _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Title _ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_|_|_|_|_Organization_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ Organization_|_|_|_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_ |_

FAXyourcompletedormtoday!Sendto1.202.729.6728


12/12

InterActions

FORUM 2010m o v i n g a t t h e s p e e d o f c h a n g e

1400 16th Street, NW, Suite 210

Washington, DC 20036 USA

202.667.8227

[email protected]

www.InterAction.org

Forum 2010 Exhibitor Brochure Web

Documents