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NCPSMA 41st ANNUAL EASTERN CONVENTION/WORKSHOP

September 25-27, 2013

Crystal Coast Civic Center, Morehead City, NC

 

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.

There will be no refunds after September 2, 2013.

 

 

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.

 

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

 

Company Name ________________________________

Phone Number _________________________________

Fax Number ___________________________________

Address ______________________________________

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 e-mail address ____________________________

Contact fax number _______________________________

 

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. This is for Registration only.

This year if you want to attend the banquet you will need to purchase a banquet ticket.

 

_________________________          _________________________

 

_________________________          _________________________

 

_________________________          _________________________

 

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

Please remember you must register each person attending @ $60 each. No free passes with display space purchase.

Please print or type. Please return both pages.

 

 

 

Display Space

($325 each for members -$450 each for non-members) Outside is Outside the building

 

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

 

Sponsorship                                                  $ ________________________________

 

Membership(s)                                    $ ________________________________

Amount of membership(s) @ $20 each

Please include completed Membership Form

 

Banquet Ticket(s)                              $ ________________________________

$10 each

 

 

Amount Enclosed for Each

Registration(s)

$60 for each registration-

no free passes                                        $ ___________________________

 

Banquet Ticket(s)                                  $ ___________________________

 

Display Space(s)                                    $____________________________

Sponsorship(s)                                       $ ___________________________

Membership(s)                                       $ ___________________________

Total Enclosed    $ ____________________________

 

Make checks payable to NCPSMA.

Mail to:

NCPSMA

630 Adams Ridge Road

State Road, NC 28676

 

 

Please remember to include all pages of the Registration Form

 

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