Safety & Health: A Commitment for Life! How Safe are You?

Exhibitor Information/

Booth Application Form

2011 Speaker’s Conference

Marriott Edmonton at River Cree Resort

This year’s Trade Show Exhibits will consist of 18 health and safety-focused organizations. Don’t miss this great opportunity to promote your organization at this year’s NAOSH Week Speaker’s Conference.

Our Goal: The goal of the North American Occupational Safety and Health (NAOSH) Week is to focus the attention of employers, the general public, and all partners in occupational safety and health on the importance of preventing injury and illness in the workplace, at home, and in the community.

For more information check out http://www.edmontoncsse.org/

FOR BOOTH REGISTRATION CONTACT:

Nimmi Dua

Nimmi.dua@ualberta.ca

780-492-8924

Booth Registration: $250.00 per booth. Each booth is also encouraged to contribute a giveaway/information on their company or organization.

Name: ________________________________

Address: _____________________________________

Email: ______________________________________

Phone #: Fax #: ______

Payment Options (circle one): Cheque* VISA M/C American Express

Card #: EXP: ___________

Name on card: (please print):

Signature:

*Company Cheques only, must be mailed or delivered to St. John Ambulance, 12304-118 Avenue Edmonton AB T5L 5G8 Attn: Sarah Casper. Cheques to be made out to CSSE Edmonton Chapter

Registration:

Registration includes badges for Booth Attendants [two per booth] and covers coffee breaks and lunch.

Names of Booth Attendants:

1. _______________________________

2. _______________________________

Booth Information:

Booths will be assigned in priority sequence based on receipt of payment and space availability. Power is available on first come first serve basis. Exhibitors are required to provide their own cords, etc. Booth size will be 8’x 6’ and will include a 6' table with 2 chairs. Booth set up time will be determined closer to the conference date

Delegate Bags:

Please be advised that each booth is encouraged to submit giveaways/information on their company or organization to be used in delegate bags. Participating booths are asked to mail/deliver 200 of each item before April 15, 2011. Items for the delegate bag can be mailed or delivered to Sarah Casper at:

St. John Ambulance

Attention: Sarah Casper

12304-118 Avenue

Edmonton AB T5L 5G8

Questions: