Operator Expo Registration Form for Exhibitors

 

Date

Membership

Registration Fee for two Registrants

 $

Additional Registrants

 $
Registrant #1 T-Shirt
Registrant #2

Free T-Shirt
Registrant #3 $ T-Shirt
Registrant #4 $ T-Shirt
Registrant #5 $ T-Shirt
Registrant #6 $ T-Shirt
Registrant #7 $ T-Shirt
Registrant #8 $ T-Shirt
Company
Address
City
State

Zip Code  

Telephone   xxx-xxx-xxxx
Fax   xxx-xxx-xxxx
E-mail
Product/Service You Will Demo
Special Requests

The Necessities (Indicate by checking all that apply)
Electricity (bring your cords) Water (bring your hoses)  
Outdoor area for large equipment Approximately what size equipment area will be needed?
Additional Tables
Quantity $10 each		  

Unless you mark this section, you are not guaranteed any of the above listed options.

Door Prizes (Indicate by checking all that apply)
I will contribute door prizes I will hold a contest in my area
I will provide refreshments in my area I will sponsor breakfast and lunch ($50)

2008 TAUD 50th Anniversary Edition Expo T-shirt.

$150 Due to space constraints, we are limited to company name only. Sorry, no logos. Payment must accompany sponsorship form. Deadline is April 18, 2008.)

**Platinum & Gold Superboosters! This is included with your Sponsorship package.
I would like to help sponsor:   
 

Grand Total  $

Pay by Credit Card

 Credit Cards
Pay Later

 

 

Credit Card Information
First Name As it appears on card
Last Name As it appears on card
Billing Address
Billing City
Billing State
Billing Zip Code
Card Type
Card Number
Security Code Help?
Expiration Date mm/yy
Amount of Payment $
Do you want a receipt? Yes  No
E-mail Address