EXHIBITOR REGISTRATION - MARCH 4, 2010 - ENROLLMENT FORM
PHONE: 800-457-0237 or 760-643-1760 FAX: 760-643-1761
PO Box 2317 • Vista, CA 92085  USA

EXHIBITOR SPACE WILL BE ASSIGNED ON A FIRST RECEIVED BASIS
Please fill in the information below, submit it, and someone will contact you regarding your registration.

Salutation:
Onsite
Contact:
Title:
Company:
Mailing Address:  
City:    State:    Zip:  
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Fax: ( )
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(A) $525 Standard Exhibitor Booth
One - six (6) foot skirted table, 2 chairs, Badges for 2 representatives
(B) $625 Upgraded Exhibitor Booth
One - six (6) foot skirted table, 2 chairs, Badges for 2 representatives (Includes electricity)
(C) $875 Double Exhibitor Booth
Two - six (6) foot skirted tables, 4 chairs, Badges for 4 representatives
(D) $975 Upgraded Double Exhibitor Booth
Two - six (6) foot skirted tables, 4 chairs, Badges for 4 representatives (Includes electricity)
(E) $75 Additional Representative - Per Person

 

Total Registration Fee $
Special Needs:
Wheelchair Access
Visually Impaired
Hearing Impaired
Vegetarian Meals
Other

METHOD OF PAYMENT: Payable to Special District Institute

Check Credit Card Invoice - PO#:

If you are planning on paying by credit card, please fax your credit card information to 760-643-1761 or e-mail it to trishansell@aol.com.