Exhibitor Registration Form

The registration form for the 37th Annual NCPSMA Eastern Convention/Workshop will be posted in May of 2009.

NCPSMA 36th ANNUAL CONVENTION/WORKSHOP

September 24-27, 2008

EXHIBITOR REGISTRATION FORM

Please read carefully and fill out and return both pages. Please remember each person registering must pay $60-each. No free passes with display space purchase. Exhibitors are not allowed on the convention "floor" unless they are registered. Please make sure the check (we do not accept credit cards) is mailed with the registration form to be applied correctly. The check must accompany the forms for the postmark date to qualify for display space selection. Please type or neatly print as name tags and company information will be printed in the program using this information. Please list the address, phone number and fax number you wish to have published in the convention/workshop program. Names of companies who do not attend but sponsor an event will also be published in the convention program. There will be no refunds after September 2, 2008.

Information you wish to be published in the convention/workshop program:

Company Name _________________________ Phone Number ________________________

Address ______________________________ Fax Number __________________________

City _________________________________ State _____________ Zip ______________

I need contact information in case of questions or an emergency situation such as postponement due to severe weather, so please list who to contact below. You can list “same” on phone and fax numbers if applicable.

Contact Name _________________________ Contact phone number ______________________

Contact fax number _____________________ Contact e-mail address ______________________

Primary product or service your company provides _____________________________________

Registration

Names of those you are registering. The cost is $60 each-no free passes with display purchase. Please print neatly or type.

_____________________ _____________________ _____________________

If registering more than three people, please list names on a separate sheet and attach to registration form.

Display Space

($325 each for members -$450 each for non-members) Outside “is” Outside Courtyard

Number of Spaces Requested. Please check appropriate box. ( ) One inside space

Some companies such as lawn equipment sales wish to have an ( ) Two inside spaces

outside (uncovered courtyard) space. Vendor rules (including ( ) One outside

display size) are the same for inside and outside spaces. ( ) Two outside spaces

Sponsorships

Refreshment Break (minimum of $325 required)

Amount of Sponsorship or Co-Sponsorship $ ___________________________

Ladies Program (minimum of $325 required)

Amount of Sponsorship or Co-Sponsorship $ ___________________________

Membership(s)

Amount of membership(s) @ $20 each $ ___________________________

Please include completed Membership Form(s)

Amount Enclosed for Each

Registration(s) $ ________________________

$60 for each -no free passes

Display Space(s) $ ________________________

Sponsorship(s) $ ________________________

Membership(s) $ ________________________

PLEASE check your addition, don't forget registration for each person attending, membership and return ALL pages with payment. Thank you.

Total Enclosed $ _____________________

Note: PO# will not hold a display space, only a check or money order. We do not accept credit cards.

Make checks payable to NCPSMA.

Mail to:

NCPSMA

630 Adams Ridge Road

State Road, NC 28676