Nine Zero

Enter Your Organization's Information Half tables are available for free. (Suggested, though not required, $100 donation / half table.) * Required fields Unless you specify otherwise in the comments section, any information you enter below will be included in our sponsor's list and appropriate media announcements.
Organization Name:	*
Is your organization a 501(c)(3) nonprofit organization	Check here if you are registering a 501(c)(3) nonprofit organization.
Website (URL):	*
Contact Name:	First name: Last name:
Email:	* We will send a confirmation email to this address.
Address Street:	*
City:	*
State:	* Zip:*
Phone Number:	* alt: cell:
Fax:
Owner's Name(s): (for our sponsor's list, programs, etc.)	Note: Please don't type any "unusual" characters. If you don't see it on your keyboard, please don't use it. Plain text only, please.
Have you participated in a FASD conference before?	Yes When/Where: No
Brief description of goods and/or services offered by your organization.	* Note: Please don't type any "unusual" characters. If you don't see it on your keyboard, please don't use it. Plain text only, please.

TABLE/BOOTH SPACE Table and booth space is reserved to all organizations offering goods or services to drug/alcohol treatment. Space is reserved on a first-come, first-served basis. We will try our best to place your organization's table or booth appropriately, based on available space.
Would you like to display your goods and/or services at a table. Yes, I would like to display my goods/services at a table. No, we won't be displaying anything.
Note: All table/booth space is FREE. We recommend a minimum donation of $100 per half table, but no worries if you cannot afford to pay: half-tables are still free. You may sell anything that you would like at the event and keep all proceeds. Free sample distribution of goods and/or services are encouraged, as appropriate. I will be donating: US$
Comments? Questions? Anything else you would like to share with us?

Set up time for tables is 7:30 a.m. Bring enough material for 350 (brochures, business cards, etc.)

We deeply appreciate your participation. We will contact you with more information immediately.
Questions regarding the health faire contact Nancy Bain 408-272-6565
or email Jennifer Emery at ninezeroconference@gmail.com

Please click once and allow up to 45 seconds for our computers to respond once you submit this application.