California Charter Schools Conference

11TH ANNUAL CALIFORNIA CHARTER SCHOOLS CONFERENCE
Sacramento Convention Center l March 29 - 31, 2004
Pre-conference Workshops & Events - Saturday/Sunday, March 27th & 28th

	Organization Name: ______________________________________________________ Mailing Address: _________________________________________________________ City: _______________________________ State: _______ Zip: ________________ Key Contact Name: ______________________________________________________ Key Contact Title: _______________________________________________________ Phone: _____________ Fax: ______________ E-mail: _________________________ 2nd Booth Attendee Name: ________________________________________________ Organization Web Address: ________________________________________________ Do you need an electric outlet? Yes No By: (please sign) ______________________________________ Date: ____________
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	BOOTH SPACE SELECTION	Booth fees - Each 8 x 10 booth space includes: * One table and 2 chairs * Electrical outlet (optional) * Box Lunch for 2 people on all 3 days of the conference
	Please check one below:

	If Payment Received Before February 1, 2004	If Payment Received Between February 1 and February 29	If Payment Received After March 1
For-Profit	$ 1,650 per booth	$1,800 per booth	$1,950 per booth
Non-Profit	$ 750 per booth	$1,000 per booth	$1,150 per booth


	How many booth spaces would you like? _____ X Fee Amount $__________ = Booth Space Amount $____________
	I would like to Reserve a Vendor Meeting/Presentation Space $250 per 90 minute timeslot = Amount $ ____________ TOTAL AMOUNT: $_______________ -----------------------------------------------------------------------------

CANCELLATION POLICY

Cancellation requests must be in writing to:

Cancellation requests must be received before the following cancellation deadlines:

On or before February 1, 2004 - 80% refund
After February 1 but before March 10 - 20% refund
After March 10 - No refund

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	METHOD OF PAYMENT - SELECT ONE
	By Check Complete and sign the Application Form and mail with check payable to:		By Credit Card (Fax Application) Visa MasterCard ______________________________ Credit Card Number on above line Expiration Date: ____ / ____ ______________________________ Authorized signature on above line Complete and sign the Application Form and fax with credit card information to: