Booth Registration – Late Entry

Organization Name:*

Contact Person:*

First Last

Mailing Address:*

Street Address City State ZIP Code

Contact Phone Number:*

Preferred method of contact:*

Call
Text

Contact Email Address:*

Please check this box if you are a government agency and need an invoice for payment
Please check this box if you are a $500 level or higher sponsor and have already paid for your booth

Exhibitor Type*

$20 - Student Group
$35 - Non-Profit/Gov. Organization Exhibitor
$55 - Non-Profit Vendor
$50 - Business Exhibitor
$70 Business Vendor
$500 - Sponsorship Level (Please see our other sponsorship levels too)

Please select the category that best describes the primary focus of your booth:*

Water
Energy
Wildlife
Environmental Education/Advocacy
Waste Management
Land Management/Gardening
Local Food
Sustainable Products
Health/Wellness

Sales

As a vendor, you are allowed to sell sustainable environmentally friendly products from your booth. Please describe exactly what you will be selling and how it relates to Earth Day.

We request that any Earth Day booth exhibitors provide an engaging and interactive experience. Please describe what event attendees will experience at your booth:*

Please describe how your organization/business supports environmental initiatives. Be sure to clearly explain why your organization is appropriate and will add value to the event:*

Are there any special accommodations needed for your booth display?

The Lincoln Earth Day Coalition will attempt to accommodate the needs of participating organizations, but can make no guarantees.

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name