2011 Roots Conference

Exhibitors Proposal

Please complete and submit the form below to request a booth for the 2011 Roots Conference. After reviewing your proposal, we will contact you via the e-mail address you provide below to verify booth availability.

Which booth type are you requesting?
Read about the Booth Options.
Sequoia #200-218 ($850)
Kings #300-319 ($620)

Please enter, in order of preference, the booth number you'd like to reserve:
See the Facility Map for booth locations.
Choice #1: Choice #2: Choice #3:

Contact Information:

First Name:
Last Name:

Job Title:

Company Name:

Billing Address:
City: State: Zip:

E-Mail:

Phone:

Fax:

Published Exhibitor Information

Exhibiting Name:

Exhibiting Website:

Exhibiting Phone:

Exhibiting Description:
Please limit to 50 words or less

Additional Information

How did you hear about the Roots Conference?

Would you like to donate a raffle prize? Yes No

Would you like us to contact you about Sponsorship Opportunities?
View the Sponsorship pages for more information.
Yes No

Before submitting your request, please be sure you have read and understand the Exhibitor Terms of Agreement.

Please initial here that you have read and agree to the terms.

Questions? Contact:

Kari Wilson or Maria Magallanes
Roots Conference Coordinators
1525 E. Noble Ave., PMB 112
Visalia, CA 93292
phone: (559) 732-5302
e-mail: info@rootsconference.org