BOOTH REGISTRATION AND SPONSORSHIP FORM

Company Name ________________________________

Address ________________________________

City, State, Zip code ________________________________

Telephone number ________________________________

Fax number ________________________________

BOOTH RATES: (Booth rentals include up to two program registrations)

___ Booth Early Registration Paid by Jan. 10 $300.00/ea ______

___ Booth Regular Registration Paid after

January 10, 2010 $350.00/ea ______

___ Electricity $ 25.00/ea _________

SPONSORSHIPS: (All sponsorships $500.00 or greater includes booth rental)

___ Break(s): Exclusive (per break) $500.00/ea ______

___ Box Lunch/lecture (first day): Exclusive $1500.00 ______

___ Vendor Social (Wine and Cheese party in vendor area)

$2400.00 ______

Total Due: _____

I will not be able to attend Winterfest but would like to support the NMSRC by donating _____

Your financial support is greatly appreciated by the NMSRC.

Please fax or mail your Registration form and fees to:

Winterfest 2010

C/O Roger Willcoxen

PO Box 1721

Roswell, NM 88202

rwillcoxenrrt@yahoo.com

Fax #: (575) 622-4220

EIN: 85-0402564, W-9 available, contact Roger.

* The conference will be held at The Ruidoso Convention Center, with lodging at the Lodge at Sierra Blanca. (Lodge at Sierra Blanca is adjacent to the Convention Center) If you have any questions or concerns please call Roger at (575) 317-1253, Fax (575) 622-4220