HUBE XPO Attend ee Texas Is Big Business Supplier diversity can be beneficial to both the seller and buyer. Come learn about the state government procurement process to maximize your partnership potential. HUBEXPO Statewide Historically Underutilized Business Program 2015 Procurement Connection Seminar & EXPO Texas Comptroller of Public Accounts February 19, 2015 Time Registration: 7:45-8:30 Event: 8:30-4:30 Location Ford Park Event Center 5115 IH-10 South Beaumont, Texas 77705 Contact • Keisha Gash at 512-463-5894 or Cassandra Johnson at 512-463-4232 [email protected] The HUB EXPOs are supported by the Historically Underutilized Business (HUB) Discussion Workgroup. Assistance will be provided on the HUB Certification Application and Centralized Master Bidders List (CMBL) Registration. •Beverly L. Hatcher Golden Triangle Minority Business Council, Inc. [email protected] * See back page for registration 98-852-7 (11/14) 2015 PCSE Exhibitor/Luncheon Registration Form Admission into the 2015 PCSE event is free You must only complete and submit this registration form with the applicable fee(s) to be an exhibitor or to purchase luncheon tickets. Two luncheon tickets are included with the exhibitor booth (i.e. 6’ table and 2 chairs) registrations. Please check one box identifying your registration: Golden Triangle Minority Business Council Member Exhibitor $150 ($200 after Feb. 2nd) Non-Golden Triangle Minority Business Council Member Exhibitor $200 ($250 after Feb. 2nd) Governmental Entity Exhibitor (i.e. State Agencies/Universities, City, County, Federal) $225 ($275 after Feb. 2nd) $25 Luncheon Ticket Only (Check this box only if you will not be exhibiting, but would like to purchase a ticket for the luncheon.) ($45 after Feb. 2nd) Additional Luncheon Tickets are $25 ea. ($45 ea. after Feb. 2nd) Are you purchasing additional luncheon tickets with the registration selected above? Will you require any vegetarian lunches? No No Yes (If yes, how many?)___________________ Yes (If yes, how many?)__________________ COMPANY AND POINT OF CONTACT INFORMATION Company Name:_____________________________________________________ Business Phone:___________________________________ Mailing Address:____________________________________________________________________________________________________ (Street or P.O. Box) (City) (State) (Zip Code) 1st Point of Contact:_________________________________________________________________________________________________ (First Name) (Last Name) (Title) (Email Address) 2nd Point of Contact:________________________________________________________________________________________________ (First Name) (Last Name) (Title) (Email Address) ATTENDEE INFORMATION (Note: Complete only for individuals who were not identified above as points of contact.) Attendee #1:_______________________________________________________________________________________________________ (First Name) (Last Name) (Title) (Email Address) Attendee #2:_______________________________________________________________________________________________________ (First Name) (Last Name) (Title) (Email Address) Attendee #3:_______________________________________________________________________________________________________ (First Name) (Last Name) (Title) (Email Address) METHOD OF PAYMENT Check Money Order American Express Diner’s Club Master Card Visa Carte Blanche Credit Card Number:________________________________________________________Expiration Date:_____________________________ Name of Card Holder:_________________________________________________________ 3 Digit Code:_____________________________ Billing Address:_____________________________________________________________________________________________________ (Street or P.O. Box) (City) (State) (Zip Code) Enter total amount to be billed if paying by credit card: $________________ Signature:______________________________________________ Note: Payment by credit card can be faxed to the fax number listed below. Mail-Remit to: Golden Triangle Minority Business Council, Inc. • Post Office Box 5064 • Beaumont, Texas 77726-5064 Point of Contact: Beverly Hatcher at Ph: 409-962-8530 • FAX: 409-722-5402 • Email Address: [email protected] Note: Be sure to wear your company name tag to the event, otherwise peel and stick name tags will be available.