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* = 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 Three):
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One (Complimentary full conference registration included in base exhibitor fee): |
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| *First Name: | |
| *Last Name: | |
| Address Line 1: | |
| Address Line 2: | |
| City: | |
| State/Province: | |
| Country: | |
| Zip/Postal Code: | |
| *Telephone: | |
| *Email: | |
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Two (Full conference registration at reduced rate of $375): |
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| First Name: | |
| Last Name: | |
| Address Line 1: | |
| Address Line 2: | |
| City: | |
| State/Province: | |
| Country: | |
| Zip/Postal Code: | |
| Telephone: | |
| Email: | |
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Three (Full conference registration at reduced rate of $375): |
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| First Name: | |
| Last Name: | |
| Address Line 1: | |
| Address Line 2: | |
| City: | |
| State/Province: | |
| Country: | |
| Zip/Postal Code: | |
| Telephone: | |
| Email: | |
New Products and Services Session:
| Exhibitors are encouraged to offer a 10-minute presentation during which a company representative may describe a service or product that can be made available to their potential customers. | |
| Do you wish to make a 'New Products and Services' presentation? |
Yes No |
| Name of presenter: | |
| Presentation Title: | |
Brief Company Description..for MFPT Website Exhibitors' Listing:
Company Logo (if file > 1 MB, please e-mail it to rick@mfpt.org):
Comments/Requests:
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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! 3. Please then proceed to the Exhibitor Payment page 4. Your registration will not be confirmed until we have received both your Registration Form and your payment |
