Education and Trade Show Reservation Form

Iowa Agricultural Education
Professional Development Conference
Trade and Education Show
Tuesday, June 29, 2010
Name: 


A red asterisk (*) indicates required questions.

  1. Company Name*


  1. Contact Person*


  1. Address*


  1. City*


  1. State*


  1. Zip*


  1. Email Address*


  1. Phone Number*


  1. Fax Number*


  1. Names to be included on name tags*


  1. Exhibit Space (each space is approximately 10' X 10' and includes one 8 foot covered table.

    Exhibit Space with one 8 foot table $125*
    Yes
    No


  1. Additional table $25*
    Yes
    No


  1. Do you need electricity? *
    Yes
    No


  1. Tuesday Noon Luncheon with Instructors $15 per person*
    Yes
    No


  1. Tuesday Evening “Fellowship Picnic” and Ag Games $25 per person*
    Yes
    No


  1. Monday Afternoon Golf Outing with Instructors (Location & Cost TBA)*
    Yes
    No


  1. Monday Afternoon River Float Trip with Instructors (Location & Cost TBA)*
    Yes
    No


  1. Total Amount Owed*


  1. Check Number (if enclosed)*


  1. Mail Payments to:
    AgEd Summer Conference
    c/o Barbara Lemmer
    PO Box 5
    Troy Mills, IA 52344

    With Questions/Concerns Contact: Tiffany Johnston by email at tjohnston@graettinger.k12.ia.us or by phone at 712-363-1958 or 712-859-3286. Contact Barbara Lemmer by email at blemmer@linnmar.k12.ia.us or by cell phone at 319-480-0386. Additonal information located at http://www.ag.iowa.org/iaae.html





Barb Lemmer