Registration Form - Howard Community College

Job/Career Fair
March 6, 2015
REGISTRATION
Contact Information
Howard Community College
Counseling and Career Services
10901 Little Patuxent Parkway
Columbia, MD 21044
PHONE: 443.518.1340
FAX: 443.518.4499
E-MAIL: [email protected]
www.howardcc.edu/jobfair
Please submit your company name as you wish it to appear on our publications/handouts.
Organization Name
Contact Name
Registration Fees
Address
FULL PAYMENT DUE UPON REGISTRATION
QTY
Turkey & Cheese
Note: Registration is non-refundable
Registration for TWO representatives ONLY
City
Box Lunch
Selection
Italian Cold Cut
$300.00 received by 2/2/2015
State
Zip Code
Tuna
$350.00 beginning 2/3/2015
$25.00 each additional representative
Phone Number
Roast Beef
(no more than 2)
Fax Number
Total Amount Paid
Vegetarian
Email: Email address where we will send
confirmation, parking pass, and map.
Total Attending Lunch
Company Web Site Address
Organization Staffing Needs
A listing of participating employers and their staffing needs will appear on our web site and as a handout for attendees. If you would like your
opportunities included, please mark the boxes next to the categories that best fit your recruiting needs.
Accounting/Banking/Finance
Customer Service
Retail/Food Service and Hospitality
Administrative Support
Engineering/Science and Technology
Sales and Marketing
Allied Health Services
Law Enforcement
Computer & Information Systems
Management and Administration
Counseling/Education/Social Work
Nursing
Other
Please fill out form and print two copies. Mail one copy with your payment and keep one for your records.
Check Payment
Make check payable to:
Howard Community College.
Send check and registration form
to the address listed above, Attn: Mary Fuller
Credit Card
Payment
Card Number
Signature
Print Form
Print Name
Master Card
Visa
Exp. Date
Discover
American Express
Amount $