Hosted by: Delaware Health & Social Services / 
Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) 
Please check the appropriate box, fill in ALL information and fax completed agreement to: 
215-968-4594 
. Exhibitor Table 
. For Profit . Non Profit 
Company:_____________________________________________ 
Contact:_______________________________________________ 
Address: ______________________________________________ 
City:____________________State___________Zip_________ 
Phone: ( ) ____________________________________ 
Fax: ( ) ______________________________________ 
Email _________________________________________________ 
Signature X_____________________________________________ 
Checks should be made out to: 
DELAWARE HEALTH & SOCIAL SERVICES 
Please mail checks to: 
LifeTime Expos & Events 
2865 S. Eagle Road, #317 
Newtown, Pa 18940 
November 7th, 2005 • 1:00 pm - 8:00 pm 
Sheraton Dover Hotel • 1570 North DuPont Highway, Route 13 • Dover, Delaware 19901 
Table Fees: 
Includes one six foot table and two chairs: 
$450.00 For Profit / $250.00 Non Profit 
DELAWARE HEALTH AND SOCIAL SERVICES 
DIVISION OF SERVICES FOR AGING AND ADULTS WITH PHYSICAL DISABILITIES 
For more information or 
to book your table please contact: 
LifeTime Expos & Events 
215-968-4593 
dblair@lifetimeexpos.com 
Exhibitor Agreement: