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
