Exhibit Booth Application

California State University, Northridge’s
21st Annual International Technology and Persons with Disabilities Conference

FREE Pass to the Exhibit Halls

Come see the very latest assistive technology products and services for persons with disabilities of all ages, disabilities and education levels!

Exhibit Days

Thursday, March 23, 2006 9:30AM - 5:00PM
Friday, March 24, 2006 9:30AM - 5:00PM
Saturday, March 25, 2006 9:00AM - 1:00PM

Los Angeles Airport Hilton Hotel Los Angeles Airport Marriott Hotel
5711 West Century Boulevard 5855 West Century Boulevard
Los Angeles, CA 90045 Los Angeles, CA 90045
(310) 410-6281 (310) 337-5398
(International & Pacific Ballrooms) (Ballroom Level)

This is a pass to the Exhibit Halls only. To register for the conference, please contact us at (818) 677-2578 or visit our web site at www.csun.edu/cod/conf

(Please complete the information below and bring this pass to the Conference Registration Area.)

Please PRINT
Name ____________________________________
Institution/Organization _______________________________________
Street Address _________________________________
City _____________________________________
State/Province ____________________________
Zip/Postal Code ___________________________
Country __________________________________
Phone ___________________________________
FAX _____________________________________
Email ___________________________

The Center On Disabilities provides contact data (names and mail addresses) to third parties who wish to promote relevant products, services and other opportunities which may be of interest to you. If you do not want your contact information made available to third parties for marketing purposes, please check here _______.

Center on Disabilities, California State University, Northridge
18111 Nordhoff Street, Bayramian Hall Room 110, Northridge, CA 91330-8340
(818) 677-2578 V/TTY
(818) 677-4929 Fax
www.csun.edu/cod/conf


Copyright © 2002 CSUN, Center On Disabilities