National Black Home Educators Providing Parent directed education
 
2010 NBHE Exhibitor Application Form
Saturday, July 3, 2010 – 8:00AM – 5:00PM
(please print clearly in ink.)
 
Embassy Suites
4914 Constitution Ave.
Baton Rouge, Louisiana
Telephone Number – 225-924-6566
(ask for the NBHE Conference)
 
Exhibitor Contact Information:
Company Name __________________________________________________________
 
Contact Person ___________________________________________________________
 
Contact E-Mail ___________________________________________________________
 
Contact Address __________________________________________________________
 
City/State/Zip ____________________________________________________________
 
Contact Phone (____)   ____________________________________________________
 
Contact Fax   (____)_______________________________________________________
 
Company Website ________________________________________________________
 
Please indicate types of items for sale/display:
Curriculum Supplemental
Art                  
Bible                      
Career
Computer      
Foreign Language  
History
Language Arts
Literature                
Mathematics
Music              
Physical Education
Science
 Social Studies  
Worldview              
 Writing
 Other
Please describe “Other”
 
Table Cost: $75.00 (due to space there will be only one table per company)
 
Mail Payment (check or money order please):  
NBHE 13434 Plank Road   PMB 110
Baker, La 70714
Telephone – 225-778-0169                               Fax: 225-775-2114
 
Office Use Only:
Company _________________________ Check # _______ Amt. Pd._____