Balticon Dealers Room Registration
Email *
Company name *
Your Legal Name   *
Address *
E-mail *
Maryland Retail Sales Tax # (If you have one. If you do not, Balticon will get you a temporary for you.) *
Number of spaces 
$185 per 6x6 space

 *
Special requests. No guarantee, but we will try. Also note 10x10 will  not have wall space.
 *

Do you wish to be listed in the BSFan or on our website, please provide the following information below:

Name and/or business name 

Address   

Telephone number

Email                                                                            

Website(s)  

Products or services

*
How would you like to pay for your space? *
A copy of your responses will be emailed to the address you provided.
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