Tech Suite Application

"*" indicates required fields

Company Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Contact Information

Pre-Meeting Contact Name*

First Last

Pre-Meeting Contact Title

Pre-Meeting Contact Phone*

Pre-Meeting Contact Email*

Is the on-site contact the same as the pre-meeting contact?

Yes

On-Site Exhibit Manager Name*

First Last

On-Site Exhibit Manager Title

On-Site Exhibit Manager Email*

On-Site Exhibit Manager Cell Phone

Reservation:

You hereby authorized to reserve a Tech Suite in the Exhibit Hall. All Tech Suites are enclosed.
Included with each space:
-carpet
(-1) table
-Up to (4) chairs
-(1) wastebasket
-Identification sign (if desired)

Suite Size

10′ X 10′ Suite ($6,000)

10′ X 20′ Suite ($8,000)

Total

Method of Payment*

Credit Card

Check (Please send invoice)

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Exhibitor Agreement*

I understand and agree to comply with all the policies, rules, regulations, terms, and conditions contained in the Exhibitor Prospectus, and will abide by the payment schedule as outlined above, and have read the rules and agree to distribute them to those involved with my booth.

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Phone

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