AmeriStamp Expo Affiliate Participation

Affiliate/Society Participation Form

Name of Affiliate Group:

APS AmeriStamp Expo Contact Person:

Phone:

Fax:

E-mail:

Website:

Address:

City, State and Zip:

Meeting Room Request Information

We would like a meeting room:

Yes No

Length of time for you meeting:

Agenda for meeting (business meeting, board meeting, seminar title:

Rank choice of day (1 most desirable to 3 least desirable:

Friday Saturday Sunday

Prefer:

Morning Afternoon

We anticipate an attendance of:

What days will you (or the speaker) be at AmeriStamp Expo:

Friday Saturday Sunday

Please list any seminars or meetings which would be potential conflicts:

The room should be set up:

Theater style (chairs only)

Classroom style (chairs & tables)

Conference Style

We will need:

A slide projector and screen

An overhead projector

A television & VCR

A flipchart

An LCD computer projector
(only 1 available)

Stamp Frames - quantity

Door Prize Donation

We would like to donate a door prize:

Yes No

If yes, provide a description if know:

Advertising in Show Program

Deadlines: November 25 for the January American Philatelist and December 23 for the February American Philatelist and Show Program.
For advertising information please contact Helen Bruno or call 814-933-3818. More information on advertising is available.

Sponsor a Society Award

We sponsor a Society Award for Exhibits and would like to make it available for AmeriStamp Epo 2010:

Yes No

Awards must be more than just a ribbon or certificate. If you can provide a photo or graphic file illustration of the award we will try to picture it on the website and or in the program.

Please provide a description of the award and either mail or e-mail a copy of criteria to be used by the jury:

Affiliates Table

We would like to help staff the Affiliates Table:

Yes No

The Affiliates Table promotes all 200 affiliates. It is staffed by members of the Affiliates Committee and other volunteers who answer questions and hand out your member applications.
Please provide name(s) of member(s) who will help and their contact information (address, phone or e-mail).

Member contact information:

Society Booth Reservation

We can commit to a full-time presence at the show, and wish to reserve our own booth:

Yes No

Closer to the time of the show we will confirm your booth reservation and request a deposit. To obtain a Society Booth we require a $100 deposit which will be refunded as long as the booth is staffed for at least 80% of the show hours. NO MONEY IS DUE AT THIS TIME.