Registration

Company Name *
Contact First Name *
Contact Last Name *
Title *
Address *
City *
State *
Zip *
Telephone *
Fax
E-mail *
Web Site
If the information you want to submit for the Summit Guide is the same, click here to copy it

Summit Guide Contact*	(For listing in the printed Summit Guide)
Name *
Title *
Address *
City *
State *
Zip *
Telephone *
Fax
E-mail *
Web Site

		Total
Number of 10x8 indoor booths with 4 free exhibitor badges	@ $2000 each	$0.00
Number of 17x17 outdoor booths with 1 free exhibitor badge	@ $600 each	$0.00
Number of 30x70 outdoor booths with 2 free exhibitor badge	@ $1,500 each	$0.00
Pipe and drape, a table and 2 chairs for your indoor booth is provided free of charge. If you don't need this we will make sure it is not set-up, just
Initial here if you do not need pipe and drape for your booth:
Electricity Connection - 20 amp. (no extension cords will be provided.)	@ $75.00	$0.00
Wireless Internet Access - per computer	@ $100.00	$0.00

		$ 0.00

My First Choice is # My Second Booth Choice is # My Third Booth Choice is # If more than one booth is purchased, they will be grouped together to form a single block of booths.

Call Us: 1-601-442-5033
P.O. Box 18503, Natchez, MS, 39122