Company Name:_________________________________________________________
Name:_______________________________________Title: ___________________
Address:______________________________________________________________
City:__________________________________________ State:________________
Postal Code: ______________ Country:__________________________________
Business Phone:________________________ Cell: ________________________
Fax:_______________________ Email:____________________________________
Web URL Address:______________________________________________________
Number of Booths WITH Electricity at $275 each:_______ Total:_________
Number of Booths with NO Electricity at $250 each:______ Total:_________
Late Registration after October 1: 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:_______________________________________________ Date:______________
Send check or money order (U.S. funds only) payable to:
PINBALL EXPO, 1085 Eagle Trace, Warren OH 44484
330-369-1192 or 800-323-FLIP, 330-369-6279 Fax
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