Native American Journalists Association | Booth Registration Form

July 18-21, Phoenix-Tempe

Organization/Company Name: ___________________________________________________________________
Primary Contacts Name and Title: ________________________________________________________________
Email Address: ________________________________________________________________________________
Phone Number: _________________________________________ Fax Number: __________________________
Organization Address: ________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

The central convention site will be the Tempe Mission Palms Hotel and Conference Center,
www.missionpalms.com. Please select one of the following options:
EARLY BIRD RATES -- Deadline: March 15

REGULAR RATES -- Deadline: July 1

Corporate: $750

Corporate: $1,000

Tribal Media: $400

Tribal Media: $500

Non-Profit: $400

Non-Profit: $500

All registrants will receive the following:

1 -8 x 10 Exhibit Area





1 -6 x 30 Table
Discounts:
10% off for two spaces

15% off for three spaces

2 -Chairs

20% off for four-five spaces

The exhibit area will be available for the exposition companys set-up on Thursday, July 18, 2013 at 1:00pm.
It is understood the exhibit portion of your convention will have concluded and be completely clear of the
Tempe Mission Palms Hotel and Conference Center by Sunday, July 21, 2013 at 12:00 noon. Please advise if
you will need more than two chairs. Also, specify any electrical requirements you may have (Electrical
requirements incur an additional $50 fee).
Notes: ______________________________________________________________________________________
____________________________________________________________________________________________
The booth registration fee does not include conference registration.

Billing Information
CHECK CREDIT CARD (Circle): AMEX | Visa | Mastercard
TOTAL: _________________ Credit Card Number: _____________________________________________
Expiration Date: __________________________ Security Code: ____________________________________
Cardholder Name: ___________________________________________________________________________
Billing address:______________________________________________________________________________
____________________________________________________________________________________________
___________________________________________________________________________________________________________________________

NAJA is hereby authorized to reserve space for my company or organization in the designated exhibit area at Tempe Mission
Palms Hotel and Conference Center area in Arizona, July 18-21. The appropriate fee is enclosed with this application for a
booth at the 2013 Native American Journalist Association Convention. We agree to abide by all of the requirements,
restrictions, and obligations set forth in the Exhibitor Prospectus ( ) and any other rules and directives, which at any time are
issued by exhibit management on behalf of NAJA or the conference center.
The exhibitor assumes the entire responsibility and liability for losses, damages and claims arising out of or related to
exhibitors activities on the Hotel premises, and will indemnify, defend and hold harmless the Hotel, its owners, agents,
servants and employees from any and all such losses, damages and claims.

__________________________________________________________________

________________

Signature

Date

THANK YOU for including NAJA in your 2013 plans. Email, fax or mail your form to:
Melanie Motah, NAJA Administrative Assistant
c/o Gaylord College at University of Oklahoma
395 E. Lindsey Street
Norman, OK
P: 405-325-9008 F:405-325-6945
melaniemotah@naja.coom