2008 Virginia Environmental Assembly Exhibit Form
Please return by August 13, 2008 for inclusion in promotional materials
More details will be forwarded upon registration as a VEA exhibitor.

Assembly Patron
Benefits: 5 free registrations (free registrations are for members of your organization)
Support recognized at opening session, Organizational name listed on-site and in event program
VCN Member             $1,000 ____ Yes, my organization wants to support VEA at this level 
Non VCN Member      $2,500 ____ Yes, my organization wants to support VEA at this level 

Assembly Supporter
Benefits: 4 free registrations (free registrations are for members of your organization)
Support recognized at opening session, Organizational name listed on-site and in event program
VCN Member              $500   ____  Yes, my organization wants to support VEA at this level 
Non VCN Member      $1,000  ____  Yes, my organization wants to support VEA at this level 

Assembly Contributor
Benefits: 3 free registrations (free registrations are for members of your organization)
Organizational name listed on-site and in event program
VCN Member             $300 ____      Yes, my organization wants to support VEA at this level 
Non VCN Member      $500 ____     Yes, my organization wants to support VEA at this level

Assembly Friend
Benefits: 2 free registrations (free registrations are for members of your organization)
Organizational name listed on-site and in event program
VCN Member             $100 ____       Yes, my organization wants to support VEA at this level
Non VCN Member      $300 ____      Yes, my organization wants to support VEA at this level

Assembly Exhibitor
Benefits: 1 free registration (free registration is for a member of your organization)
Organizational name listed on-site and in event program
VCN Member              $50  ____ Yes, my organization wants to support VEA at this level
Non VCN Member      $100 ____ Yes, my organization wants to support VEA at this level

Exhibitor Information:
Organization Name:_______________________________________________________

Contact Name:_____________________________  Phone Number:_________________

E-mail Address:_____________________________ Website: ______________________

Names of VEA Attendees___________________________________________________
________________________________________________________________________

Number of Vegetarian Meals Needed:  ______________________________

Form of Payment:____________________(check, online)

Return form and payment to: Virginia Conservation Network, 422 E Franklin Street, Suite 303, Richmond, VA 23219 -OR- e-mail form to dana@vcnva.org and mail check to above address.

Make checks payable to Virginia Conservation Network
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