| Company: |
* |
| Operating Name: |
* |
| Address: |
* |
| City: |
* |
| Province/State |
|
| Country: |
|
| Postal Code/Zip: |
* |
| Contact: |
* |
| Tel: |
* |
| Fax: |
|
| E-mail: |
* |
| Event: |
* |
| Date: |
|
| Staff: |
|
| Products/Services: |
* |
| Name of Exhibitor |
* |
|
Booth Numbers(s) from floor chart |
Note:
if your order is too complicated for this form. Just fill out the fields you
can, and a sales representative will contact you to complete your
booking. |
| Number of Booths: |
* |
| First choice |
* |
| Second Choice |
|
| Third Choice |
|
| Fourth Choice |
|
| Total Cost: |
(Don't include tax) |
|
Payment Information |
Note:
you may leave the credit card fields blank if you don't feel comfortable
submitting this information over the web and a representative will get this
information when confirming booth(s) availability. |
| Method of Payment:: |
* |
| Credit Card |
VISA Mastercard AMEX |
| Credit Card Number: |
|
| Expiry Date: |
|
| Name of Cardholder: |
|
| |
The
Balance Due will be charged to your credit card 45 days prior to the
show. NOTE: All contracts must be accompanied by a deposit for ($200)
Two Hundred Dollars per booth. Please include a post dated cheque made
fot the balance. MAKE NON-REFUNDABLE CHEQUES PAYABLE TO MBM
SHOWS |
| |
|