AC2014 Exhibitor Application

Contact Information
Company Name
Company Contact Name
Address
City State Zip
Phone
Fax
E-mail
List the name(s) of each representative from your company who plan to staff your exhibit space during the conference:
Representative #1
Name
Address
City State Zip
Phone
Fax
E-mail
Representative #2
Name
Address
City State Zip
Phone
Fax
E-mail
Exhibiting companies shall limit the number of personnel working concurrently to two (2) per booth. A fee will be assessed for additional personnel exceeding the two at $50 per individual. If you wish to send more than two representatives, please contact Jennifer Taylor at jennifer.taylor@midwestcarealliance.org. Exhibits must be properly staffed during all exhibit hours. Exhibitor or any of its representatives shall not conduct him/herself in a manner offensive to standards of decency or good taste. Exhibitors must comply with all applicable federal, state and local laws.
Description of Product or Service to be Displayed:
This information will be printed on publicity materials for attendees. Please limit to 50 words.
Cost to Exhibit
I will need electricity, which costs $25.
Yes
No
I have read and agree to the terms of Exhibitor Contract. (Note: Contract information available for download on Annual Conference page.)
In order for Midwest Center to guarantee inclusion in conference program materials, the completed form and payment must be received by August 1, 2014.
   - denotes required fields