Table Top Registration

1. Contact Name:
2. Company Name:
3. Address:
4. City:
5. State/Province:
6. Postal/Zip Code:
7. Country:
8. Telephone:
9. Fax:
10. Email:

At all Global and Regional Education Conferences, ACTE recognize those companies who are showcasing a green product, solution or tool. We will be distinguishing those companies with a green leaf on their onsite signage and in the conference program.

Will your company be showcasing a green product, solution or tool?

1. YesNo

1. Card Number:
2. Expiration:
3. Card Holder Name:
4. Cheque Number:

If you would prefer not to submit your contract online you can mail a signed contract and payment to: ACTE, 515 King Street, Suite 440, Alexandria, VA 22314 or fax it to 1-703-683-2720. Upon receipt, ACTE will send you a written confirmation. Please contact Michele Ahluwalia with any questions or for more information. She can be reached at 1-703-683-5322 or [email protected]

(Note: If you require a copy of this contract or wish to pay by check, please print using your browser's print feature before submitting this form)

CANCELLATION POLICY: All requests must be made in writing to ACTE. A 50% will be given for all cancellations made by 1 July 2009. After 1 July 2009, no refunds will be issued.