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Environmental Health Administration
District of Columbia Watershed Protection

District of Columbia Department of Health
Erosion Control and Storm Water Management Workshop and Trade Show
Exhibitor Registration Form

Please fill out the enclosed registration form online, print and mail the completed registration form, with the $300 exhibitor fee to the address below. This form is for conference registration only and does not include lodging. Please contact the Days Inn Connecticut Avenue directly for room reservations (see “Hotel Accommodations” below).

Your Exhibitor Registration fee of $300 includes one 10’ x 10’ exhibit space, 2 exhibit booth passes, entrance to all breakout sessions, 2 continental breakfasts, 2 lunches and all refreshment breaks, transportation to the field trip (SWM BMP tour), as well as all registration materials. Exhibit Spaces will be assigned on a first-paid basis. Spaces will not be held or reserved until full payment is received.

Exhibitor Contact Name:
Company:
Address:
City:     State: Zip code:
Telephone: Fax:
E-mail:
Please indicate if you require vegetarian meals: Yes   No
Please indicate if you will be attending: Field Trip: Yes   No
Exhibit Space --- 10" x 10"
One Table Top
Number of people manning exhibit
Indicate needs:
Table Top
Electrical Outlet
Other Special Needs
Check or money order made payable to: MAC/IECA

Print Form and Mail to:
Attn: Melinda Church
DC Department of Health
Watershed Protection Division
51 N Street NE 5th Floor, (202) 535-2977
Washington, DC 20002
Conference Registration should be postmarked on or before April 16, 2004
Hotel Accommodations