Vendor Conference and Exhibit Registration Form

March 21-23, 2012
To participate in the Vendor Exhibition the Affiliate Member must have paid current dues and be in good standing



Company Name:
*
Point of Contact:
*
Address:
City:
State:
Zip:
Phone:
*
Email Address:
*



Membership Fee $80.00 - due January each year, Conference Registration $50.00
TOTAL - $130 total if paid before February 21, 2012, $155 total if paid after February 21, 2012.

Conference Registration ($50 per attendee if paid prior to February 21, 2012, $75 per if paid after February 21, 2012
Attendee:
Attendee:
Attendee:
8'Table Spot ($325 before February 21, 2012, $475 after February 21, 2012)
Electricity required
Wall Space required
Table Sharing Fee $100 - Name of Primary Vendor:
Parking Spot Needed ($200 per spot may not overlap)



Note: Wall and electrical space is limited. Please provide extension cords if you need electric and tape for coverage. FLAGFA will attempt to accomodate wall space but cannot guarantee all requests. Requests will be prioritized based on vendor registration dates.

Any Questions please contact Vicki Duval at 954-345-2215

We appreciate your participation and look forward to seeing each of you in September!



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