Green Expo Registration

Exhibitor Registration Form Name of Org.:______________________________________ Contact Name:______________________________________ Address:___________________________________________ Phone number:_____________________________________ Email address:______________________________________ Web url:___________________________________________ Description of service/product/concept you offer (for placement on Green Expo webpage – limit 50 words) _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Registration includes a Table & Two Chairs at Main Place Mall □ For Profit Business $100 □ Not-for-Profit $50

Check #___________Made out to “Keep WNY Beautiful” (note “Green Expo” on check)

Categories your display will best fit? Mark best fit w “1”, 2nd best w “2”, etc. ___Home ___Business ___Body ___Career ___Garden ___Community If you are one of the first 4 exhibitors in your category, would you like to have 15 minutes to speak about your product/services/concept? ___Yes ___No Are you willing to take resumes from the public at your table? ___Yes ___No

Registration Number:_____________Date/Time Received:______________ For question/comments contact: Mary Fisher, Chair, Buffalo Niagara Green Business Expo; Business Recruitment at 833-2929 X117 or [email protected] Please fax this form to Mary Fisher at 716-833-9292