2013 SEEDS Grad School and Career Fair Registration 1. Opportunity information Question Title * 1. For which fair(s) are you registering? Check all that apply. Note: fee is $250 for universities and non-profits, $500 for business and corporations for each event. 2013 SEEDSNet Career Fair 2013 ESA Annual Meeting - Diversity Celebration Question Title * 2. Organization or Company name: Question Title * 3. Opportunity Title (or general organization promotion): Question Title * 4. Contact person: Name: Title: Email: Phone: Mailing address: Question Title * 5. Person Staffing the event/s Name 1: Title 1: Cell Phone 1: Email 1: Name 2: Title 2: Phone 2: Email 2: Question Title * 6. Opportunity website(s): URL: Question Title * 7. Opportunity description: Question Title * 8. Opportunity specifics: Location dates: Participation dates (approximate): Number of student opportunities: Eligibility restrictions: For prompt confirmation, please inform Fred Abbott of your completion of this form at fred@esa.org. Done