UNIVERSITY OF DELAW ARE National McNair Scholars Research Competition and Graduate School Fair E xhi bi tor / Gr adua te S chool Fa ir Re gi st ra ti on For m Graduate School Fair, Friday, October 9, 2015 The Graduate School Fair will be held at the Trabant University Center, 4-6:30 p.m., Friday, October 9, 2015. Exhibit booths must be set up by 3:30 p.m. (Please allow extra time for travel delays.) Exhibitor #1 Name: Email address: Exhibitor #2 Name: Email address: Institution Information Exhibitor registration form completed by: Institution name: Department name: Address (street address): City/State/Zip: Business phone: Business Fax: Graduate Fair Web Site Listing —Please specify how you would like your institution's listing to read, and specify the departmental or college web page it should link to on the University of Delaware's McNair Conference site, www.udel.edu/mcnairconference/fair.html. Institution/Department/College name: Web address of your department/college: Fees (Exhibitor registration includes one table and two chairs: Reg. No. 0705131-001-15F-LF) _______ $260.00 Graduate Fair exhibitor fee—Early Bird Rate! (for registration and payment received by August 17, 2015) _______ $285.00 Graduate Fair exhibitor fee (for registration and payment received after August 17, 2015) _______ $40.00 Electric power source _______ $60.00 Internet access (limited availability) _______ TOTAL FEES ENCLOSED Method of Payment (Registration will not be processed without payment or Purchase Order number.) _______ Check (made payable to University of Delaware) _______ Purchase Order attached (if faxed, original must be mailed to the Registrar at address below) P.O. #___________________________ _______ Credit card: Please charge $ ______________ to my: [ ] Visa [ ] MasterCard [ ] American Express [ ] Discover Card No. ____________________________________________________________ Exp. Date ______________________________ Authorized Cardholder's Signature _______________________________________________________________________________ Name as it appears on this card (printed) __________________________________________________________________________ Billing address for this card (printed) _____________________________________________________________________________ Submit Your Completed Registration Form Register by fax: 302-831-0701 Register by mail: University of Delaware McNair Graduate School Fair Division of Professional and Continuing Studies 201 John M. Clayton Hall Newark, DE 19716-7410 For more information, call 302-831-4396, write to mcnairscholars@win.udel.edu, or visit www.udel.edu/mcnairconference/ N / R evised 5/4/2015