Career Fair Registration -- Check Payment Form org contact info Organization Contact Information Primary Contact Full Name Organization/Company Name Street Address City/Town State/Province - Select - Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ZIP/Postal Code Email Phone org details Organization Details Website Industry - Select - Accounting Advertising,Marketing & Public Relations Aerospace Agriculture/Forestry Architecture/Urban Planning Art & Design Banking/Finance/Financial Services Biotech & Pharmaceuticals Business Chemicals Communications/Media Construction & Building Trades Consulting Consumer Products Education Education Policy/Planning/Research Energy & Environmental Resources Engineering & Related Technologies Entrepreneurial/Start-Ups Environmental/Marine/Wildlife Food Services Foundations Government/Public Sector Health Care/Medical High Tech/Information Technology Hospitality/Travel & Leisure Housing & Urban Development Human Resources & Staffing Information Technology Insurance International Affairs & Development Internet & E-Commerce Investment Banking Landscaping Legal/Law Manufacturing Media/Publishing Military & Defense Museums & Libraries Natural Resources Non-Profit/Philanthropy Other Pharmaceuticals/Biotechnology Print & Publishing Public Health Real Estate Research/ Product Development Retail/Wholesale Science/Research Social Services/Non-Profits Sports & Recreation Staffing & Executive Search Telecommunications Transportation & Logistics Utilities (Public & Private) Venture Capital/Principle Investing Veterinary Organization Description (as you would like it to appear in our fair materials) Jobs or Internships (anticipated or current) Will you interview students who are eligible for practical training? - Select - Yes No Do you sponsor international students? - Select - Yes No Type of Organization - Select - For Profit Non-Profit Fees Registration Fees For profit organizations: $200 Non-profit organizations: $100 Other Fees Would you like to purchase a Sponsorship Package (limited availability)? - Select - Yes, a full page ad in the program directory ($100) Yes, a half page ad in the program directory ($50) No Would you like your booth to have electricity access? - Select - Yes ($25 per booth) No Grand total markup Grand Total Total $ Pay with Check Pay by Check Make check payable to: Smith College (Federal Employer ID Number: 04-184-3040) Mail to: Deborah Wijnhoven RE: Fall Career Fair Smith College Lazarus Center for Career Development Drew Hall Northampton, MA 01063