Name:

Exhibitor/Company Name:

Exhibitor Representative:

Address:

Phone:

Fax:

Email:

Number of booths:
       Gold ($375)    Regular ($325)
Total Rental:

Booth Location Choice:
   1st    2nd    3rd

I would like my booth sign to read as follows:

Special Requirements

Electrical:
Included in booth rental fee

Water:
Will you need a location near a water supply?
Yes No

Other:

Telephone:
All arrangements for telephone lines must be made directly through CenturyTel of San Marcos.

I will be sending a check in the amount of : $ for 50% or 100% of the total amount.

I understand that if my payment is not received within 3 days, the booth I requested may be selected by another exhibitor.