Booth Registration – CC Payment

Business Information

Business Name*

Business Address*

Business Mailing Address Business City Business State Business Zip

Business Phone*

Business Email*

Contact Information

Contact Person*

Contact Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Phone*

if different from Business name above

Contact Email*

Broker Information (if applicable)

Broker Name

Broker Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Broker Phone

Broker Email

Reserve Booth

Booth

Price: $820.00

Booth(s) (includes $50 annual Industry Membership)

Booth Preference (Indicate booth number)

1st choice 2nd choice 3rd choice

CLICK HERE to view vendor hall layout

Industry Program Partner Levels (optional)

Elite Partner Sponsorship $3000
Premier Partner Sponsorship $2000
Select Partner Sponsorship $1000

For additional sponsorship opportunities, contact the MSNA office

Industry Membership

Industry Membership ONLY $50.00

(Industry Membership is already included in the cost of the booth rental.)

Industry Membership

Price:

Will you need kitchen assistance with preparing samples from the local school district staff?*

Yes
No

For accurate meal count, please indicate how many will be attending the following event:

Awards Banquet – Saturday, November 2*

Yes
No

How Many?

Purse Raffle*

Yes
No

Nametags:

Please enter names of those staffing vendor booth(s)

Vendor Name 1

First Last

Vendor Name 2

First Last

Vendor Name 3

First Last

Vendor Name 4

First Last

Total

$0.00

Electronic Signature*

Full Name Title Date Email

Entering your name here acts as your physical signature.

INSURANCE

Exhibitors represent that they and any agents or independent contractors they may employ are insured with comprehensive liability insurance, with coverage of at least $1million per claim for all claims arising out of an act or occurrence which exhibitor or any agent of independent contractor they employ may become legally obligated to pay.

Comments

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