Please enter information EXACTLY as it will appear in the show publicity and display sign.

Company (legal name)

Company name for signage     (same as above)

Address

Select the representative you have been dealing with: --Select One-- Chris Woo Dwight Anderson Heather Champine Helen Wiberg John Dritsas Mary Cracraft Michelle Roddie Patricia Schulte Robin Kocina Robin Miller Unsure

If you were given a Client Code, type it here:

List all products, services, and companies you will be representing:

Enter booth numbers from the floor map.

Note: If all choices are already assigned, you will be assigned a booth as close as possible to your choices.

Please list any items you will be giving away at your booth. This information will be published on 101Expos.com. (Max 25 words)

Please list one item you would like to feature on 101Expos.com that you will be selling at the show. (Max. 25 words) Send a picture of the item or logo to rmiller@mediarelations.com. Note: picture or logo is required.

Website Address URL (http://)