Exhibitor Registration Form

Booth(s) location:
First Choice  
Second Choice 
We will attempt to accommodate your location request.
Please refer to the floor plan and call for location availability.


Contact Person:
NAME: 
TITLE: 	
COMPANY NAME AS YOU WOULD LIKE IT TO APPEAR ON YOUR FREE SIGN:

Mailing Address:
                       
City: State: Zip:
Telephone: Fax:
e-mail Address:
PLEASE PROVIDE A BRIEF DESCRIPTION OF YOUR PRODUCT OR SERVICE
 
Please note:  We are required to obtain a State of Maine Sales Tax Registration Number.
Enter your number here
Please charge my credit card $400.00 deposit:

CREDIT CARD ORDER INFORMATION

VISA

MasterCard

American Express              

Discover Card

Billing Address of Card

Name as it appears on card

Credit Card Number

Expiration Date

Street Address or P.O. Box

City

State

Zip Code