* = Field Required
| *Company Name: | |
| Website Address: |
Point of Contact Details:
| *First Name: | |
| *Last Name: | |
| *Address Line 1: | |
| Address Line 2: | |
| *City: | |
| *State/Province: | |
| *Country: | |
| *Zip/Postal Code: | |
| *Telephone: | |
| Fax: | |
| *Email: |
Reservation Space Request Details:
| See Exhibitor Hall Layout for available booths and tables | |
| *First Choice (Booth Letter or Table #): | |
| Second Choice (Booth Letter or Table #): | |
| If you want electrical power at your booth/table, check this box: |
Details of Exhibitor’s Representative(s) (Maximum of Two):
|
One (Complimentary full conference registration included in base exhibitor fee): |
|
| *First Name: | |
| *Last Name: | |
| Address Line 1: | |
| Address Line 2: | |
| City: | |
| State/Province: | |
| Country: | |
| Zip/Postal Code: | |
| *Telephone: | |
| *Email: | |
|
Two (Complimentary full conference registration included in base exhibitor fee): |
|
| First Name: | |
| Last Name: | |
| Address Line 1: | |
| Address Line 2: | |
| City: | |
| State/Province: | |
| Country: | |
| Zip/Postal Code: | |
| Telephone: | |
| Email: | |
Brief Company Description..for MFPT Website Exhibitors' Listing:
Company Logo (if file > 1 MB, please e-mail it to rick@mfpt.org):
Comments/Requests:
|
1. Press 'Submit' to transmit your Registration Form to MFPT HQ. 2. You should then see a 'Form Confirmation' page with the information you provided - this will confirm that your submission has worked! You can print this for your own records. 3. At the bottom of the 'Form Confirmation' page is a 'Return to the form' link; click it to return to this page. Your data will no longer be on the form but that's normal - don't worry! 4. Please then proceed to the Exhibitor Payment page. 5. Your registration will not be confirmed until we have received both your Registration Form and your payment. |