BJS/JRSA 2012 National Conference

Exhibitor Registration Form

The BJS/JRSA 2012 National Conference will be held on Thursday, October 18 through Friday, October 19, 2012, at the Galt House in Louisville, Kentucky. The group rate for a single hotel room is the prevailing federal per diem, which is currently $97.00 per night plus 15.1% locality tax. To make your hotel reservations, please use the group reservation online booking or call 1-800-843-4258. Mention the Justice Research and Statistics Association's room block to receive the group rate.

The exhibit fee includes: one set of conference materials, including the list of participants, and entitles one person to attend conference sessions; skirted table(s); two chairs; and visible, accessible exhibit space for your display. Exhibitors will be listed in the conference program. Once payment is received, you will receive an information packet with specifics regarding time, location and contacts for exhibit facilitation.

Government agencies and non-profit organizations may qualify for a partial waiver of the exhibitor fee. Please contact JRSA for information.

Name: 
Title: 
 
Organization: 
 
Address: 
City: 
State:  Zip: 
 
Telephone: 
Fax: 
 
Email: 
 
 
Please provide names for all individuals as they should appear on name badges.
Exhibitor #1:  
Exhibitor #2:  
 
 

I would like to reserve the following exhibit space at the BJS/JRSA 2012 National Conference:
One 6 ft. table - cost: $495.
Two 6 ft. tables - cost: $700.

I am unable to attend the conference, but would like to reserve table space to have my materials displayed in the exhibit room.
Display space - cost: $100



Payment Options:
I'll send a check made payable to JRSA.

I'll pay with credit card.
  Name on card:
  (link to secure payment page provided after submission of form)