Products Display Show 2012 Online Registration

CSI Memphis Products Display Show 2012

Tuesday, March 13, 2012 - Memphis, TN - 4:30pm-8:30pm

Q.1

Company Name *

Q.2

Booth Sign Name *

Q.3

Company Web Address

Q.4

Contact Information *

Contact Name

Contact Email Address

Contact Phone

Contact Fax

CSI Member Number

Q.5

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Q.6

Booth Needs *

	0	1	2	3	4	5	6
Number of Booths Needed
Number of Additional Tables Needed (1 per booth included. $40 ea. additional)
Number of Electrical Outlets Needed ($40 ea.)

Q.7

Booth No. Preference *

on first-reserved-basis. list 3 in order of preference

Other:

Q.8

Badge Names *

2 included in booth price. $5/ea additional

Q.9

Payment Method *

provide special requests in "other" box if necessary

I will mail a check. no bill required
Online paypal payment (option available on page once registration is complete)
Send me a bill to Billing Address (shown above)
Other:

Q.10

Feedback

Please provide feedback on your registration experience. Your input will help CSI Memphis improve the service it provides. We're tough enough so PLEASE be brutally honest. Thanks in advance for taking the time to help.

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