PALA 2018 Vendor Expo Registration AWS

Report 0 Downloads 166 Views
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___________________