Rural Community College Alliance presents:
Revitalizing
Rural Economies
October
6-8, 2003 • San Antonio, Texas
RESERVATION FORM
Company/Organization: __________________________________________________________
Contact Person: ________________________________________________________________
E-mail address: _________________________________________________________________
Phone: _______________________________________________________________________
Fax: _________________________________________________________________________
URL: _________________________________________________________________________
Exhibit Fee = $100.00 (Display/sales
space includes draped 6' table with 2 chairs)
_______________________ Enclosed.
Pay by credit card: __________ Visa __________ MasterCard
Card Number: _______________________________________________ Exp Date: __________
Cardholder: ____________________________________________________________________
Signature: _____________________________________________________________________
Deadline for Submission: September 12, 2003
RETURN TO:
Pam Cooper
North Central Regional Center for Rural Development
Iowa State University
107 Curtiss Hall
Ames, IA 50011-1050
Phone: (515) 294-8321 Fax: (515) 294-3180
pkcooper@iastate.edu
