Employer Registration Form And Original Invoice

Wednesday, October 28th, 2009
10:00 a.m. - 3:00 p.m.
BRECKON SPORTS CENTER EAST DOME- PARKVILLE CAMPUS

Tax ID Number 44-0562048

THIS IS YOUR INVOICE FOR THE FAIR. NO ADDITIONAL INVOICE WILL BE SENT

Please fill in your information below. *Required fields are in Bold.

Registration Information
*Company Name
*Address
*City
*State
*Zip Code
*Contact Person
*Contact Title
*Phone
Fax
*Email
Preferred Majors/Degrees

Billing Information
Registration for this EVENT IS $150.00. This fee includes: One booth with an 8' table, 2 chairs, company sign and two lunches. If more than two representatives are attending, additional lunches may be purchased for an additional $25.00. If electrical access is required, there may be an additional fee. Payment and registration must be received by Friday October 9th, 2009.
Number of booth reservation	($150.00 each)
Electrical access
Additional Lunches	($25.00 each)
Total

Payment Information
Please make all checks payable to Park University Career Development and send to: PARK UNIVERSITY – CAREER DEVELOPMENT 8700 NW River Park Drive – PMB #33 Parkville, MO 64152 We accept credit cards OR electronic deposits/transfers. Contact Susan Michaud at 816-584-6330 for credit card payment. No refunds due to inclement weather.