NYS 2013 Bridge and Culvert Expo: Vendor Registration

Company Name:

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Contact Person:

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E-mail:

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Company Address:

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City:

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State:

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ZIP:

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Telephone Number:

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 Fax:

Product Description:


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Demostration Description:


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No. of booths needed

(10x10 space; $800 each)
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No. of representatives manning the booth


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Demonstration Space Needed

Yes No You must choose one of the options for completing this form.

Will you be providing an item for the raffle?

Yes No You must choose one of the options for completing this form.

Electric Required

Yes No You must choose one of the options for completing this form.

If Yes, amps

AMPS

Yes No You must choose one of the options for completing this form.

Water Required

Yes No You must choose one of the options for completing this form.

Special Needs/Space Required for Demonstration

Yes No You must choose one of the options for completing this form.

if Yes, be specific:

Will you require removal of waste materials?

Yes No You must choose one of the options for completing this form.

if Yes, be specific:


Insurance certificate provided?

Yes No You must choose one of the options for completing this form.

SPONSORSHIP INFO

Sponsorship:

Yes No You must choose one of the options for completing this form.

If yes, please choose at least one of the following:

May 22 Continental Breakfast $250
May 22 Lunch $500
May 22 PM Break $250
May 22 Dinner* $1200
May 23 Continental Breakfast $250
May 23 Lunch* $1200
May 23 PM Snack $250

* Includes 2 complimentary expo registrations

All Sponsorships Receive:

  • Your company logo prominently placed at sponsored area
  • Your company logo prominently displayed at Exhibit Entrance
  • Your company logo in program brochure

Payment Method

Check Credit Card Purchase Order

Please make checks payable to MVCC. To pay by Credit Card please call Joann Dickson, 315-792-5300.

I have read and agree to the Rules and Regulations of the Booth Space Agreement & Contract.
You must read and agree to the Rules and Regulations of the Booth Space Agreement and Contract for completing this form.