College of Engineering & Architecture

Registration Form

PLEASE PROVIDE THE FOLLOWING INFORMATION
Company Name:
Logo File Upload:
Please do not upload a logo larger than 150 pixels in the longest dimension
Address Line 1:
Address Line 2:
City:
State:
Zip:
Direct Phone:
Other Phone:
Fax Phone:
Email:
Website:
"http://www.company.com"
Primary Contact Person:
Additional People:
Seperate multiple people with commas, ie: "John Doe, Jane Doh"
EQUIPMENT REQUEST
  Unit
Charge		 Quantity
Needed		 Total
Charge
VCR and Monitor: $30.00
# of Outlets:   no
charge
Display Size:
Other Equipment Requests:
PLEASE INDICATE THOSE MAJORS IN WHICH YOU ARE INTERESTED
Interested Majors:
ctrl + click to select multiples
Other Majors of Interest:
PLEASE INDICATE THOSE ITEMS IN WHICH YOU ARE INTERESTED
  Women and Minority Engineering Programs
Internship Program
ABOUT YOUR COMPANY
Brief Description:
Full Description:
REGISTRATION FEE
 
Basic Registration Fee $375.00
Number of Additional Lunches ($10.00 each)
Audio-Visual Equipment Rental $
TOTAL Registration Fee: $
SUBMIT THIS FORM
College of Engineering & Architecture, P.O. Box 642714, Washington State University, Pullman, WA, 99164-2714, 509-335-6613, Contact Us