Register now - Texas Comptroller of Public Accounts

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
Texas4hubs@cpa.state.tx.us
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.
hatcher.beverly@gtmbc.com
* 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: hatcher.beverly@gtmbc.com
Note: Be sure to wear your company name tag to the event, otherwise peel and stick name tags will be available.