PALA 2018 Vendor Expo Registration
Company_____________________________________________________________________________________ Product/Industry to Exhibit______________________________________________________________________ Contact Person________________________________________________________________________________ Address______________________________________________________________________________________ City, State, Zip_________________________________________________________________________________ Email___________________________________________________Phone________________________________ Three (3) Representatives are included in the registration. Additional representatives will be an additional $50 fee.
1._____________________________ 2._____________________________ 3.___________________________
Exhibitor Registration 2018 Eden Resort, Lancaster
Spring
April 9-‐10, 2018
PALA Industry Partner Member Non-‐Member Electric for booth in Exhibit Hall Additional Representatives
$650.00 $850.00 $ 50.00 $ 50.00
Fall
October 8-‐9, 2018
The Central Hotel, Harrisburg
PALA Industry Partner Member Non-‐Member Electric for booth in Exhibit Hall Additional Representatives
$650.00 $850.00 $ 50.00 $ 50.00
Discount for attending both 2018 Expo ($250.00)
__________ __________ __________ __________
__________ __________ __________ __________
__________
(deadline for discount registration is January 31, 2018) TOTAL
$___________
Fax, Mail or Email (
[email protected]) the registration form. Payment can be m ade by check or credit card. Payment Information: _____Visa _____MasterCard _____American Express _____Discover ___________________Check Enclosed Card Number_________________________________________________________________________Exp. Date___________________ Cardholders Name_____________________________________________________________________CVV Code___________________