MSA 2020 Annual Conference: Vendor Registration Form

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MSA 2020 Annual Conference: Vendor Registration Form

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* Indicates required question

Company Name *

Your answer

Representative Name *

Your answer

Address *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

Phone *

Your answer

Email *

Your answer

Do you need power at your table? *

Yes

No

Other:

Special requests/considerations:

Your answer

Payment *

$700 "Early Bird" Exhibitor Fee- register by January 15, 2020

$900 Standard Exhibitor Fee

$1,500 Wifi Sponsor

$3,500 Meal Sponsor

$1,500 Refreshment Break Sponsor

$700 Charging Station Sponsor

"Dine Around"

Supplies- please specify

Other:

Required

How would you like to pay? *

Check

Credit Card

PayPal

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