Exhibitor Registration Form

Name of Org.:______________________________________
Contact Name:______________________________________
Address:___________________________________________
Phone number:_____________________________________

Email address:______________________________________

Web url:___________________________________________
Description of service/product/concept you offer (for
placement on Green Expo webpage – limit 50 words)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Registration includes a Table & Two Chairs at Main
Place Mall

□ For Profit Business $100

□ Not-for-Profit $50
Check #___________Made out to “Keep WNY Beautiful” (note
“Green Expo” on check)

Categories your display will best fit? Mark best fit w

“1”, 2nd best w “2”, etc.
___Home ___Business
___Body ___Career
___Garden ___Community

If you are one of the first 4 exhibitors in your

category, would you like to have 15 minutes to speak
about your product/services/concept?
___Yes ___No

Are you willing to take resumes from the public at

your table?
___Yes ___No
Registration Number:_____________Date/Time
Received:______________

For question/comments contact: Mary Fisher, Chair,

Buffalo Niagara Green Business Expo; Business
Recruitment at 833-2929 X117 or
mfisher@environmentaleducation.com
Please fax this form to Mary Fisher at 716-833-9292