Tech Suite Application

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*
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 ($5,000)
- 10' X 20' Suite ($7,000)
Total
$0.00
Method of Payment*
- Credit Card
- Check (Please send invoice)
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: 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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Email
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Contact Information