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Company Name:_________________________________________________________
Name:__________________________________________ Title:__________________
Address:_______________________________________________________________
City:__________________________________ State:_________ Zip: ______________
Business Phone:______________ Cell Phone: ________________ Fax:_____________
Email Address:__________________________________________________________
Web URL Address:_______________________________________________________
Booth Sign (maximum 20 letters per line, 2 lines total):
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Description of Products or Services:________________________________________
____________________________________________________________________
Number of Booths WITH Electricity at $250 each:_______ Total:_________
Number of Booths with NO Electricity at $225 each:______ Total:_________
Form submission after Deadline: add $25
Total Booth Space Cost: ______________
Deduct 5% for multiple booths:_________
TOTAL:___________________________
Number of Tables Required:_____________
Number of Chairs Required:_____________
Number of Electrical Outlets Required:_____________
List names below that will appear on your exhibit badges.
One booth=2 badges, two booths=3 badges,
three booths=4 badges, four booths=5 badges.
1. ____________________________________
2. ____________________________________
3. ____________________________________
4. ____________________________________
5. ____________________________________
NOTICE TO ALL EXHIBITORS.
Please price all merchandise in your booth that is for sale.
All games in your booth must be set to FREE PLAY, AT ALL TIMES.
There will be NO moving out until 4pm on Sunday. There are no exceptions!
Payment in full must accompany this form.
I have read and understand all the of the rules and regulations
regarding exhibiting at Pinball Expo and I agree to abide by them.
Signature:_______________________________________________
Title:_________________________________ Date:______________
Send check or money order (U.S. funds only) payable to:
Pinball Expo, 2671 Youngstown Road S.E., Warren OH 44484
330-369-1192 or 800-323-FLIP, 330-369-6279 Fax
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