Exhibition Hall Application/Contract Pinball Expo 2010
 26th Annual International Pinball Extravaganza
Oct 20 to Oct 24, 2010 Westin Chicago North Shore, 601 N. Milwaukee Ave, Wheeling IL 60090
Please print out this form, complete and mail to PINBALL EXPO Headquarters.
Complete one form for each exhibitor/company.
This form must arrive NO LATER THAN October 1 (after this date there's a $25 surcharge.)

Company Name:_________________________________________________________

Name:_______________________________________Title: ___________________

Address:______________________________________________________________

City:__________________________________________ State:________________

Postal Code: ______________ Country:__________________________________

Business Phone:________________________ Cell: ________________________

Fax:_______________________ Email:____________________________________

Web URL Address:______________________________________________________
 Booth Sign (maximum 20 letters per line, 2 lines total):


Description of Products or Services:________________________________________
____________________________________________________________________

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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