Supplier Registration Form

Please fill out the form below:

Supplier Show Registration Form must be approved to register

Company Name(Required)

Assigned booth number(s)(Required)

Please seperate multiple booths with a comma

Address(Required)

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

Contact Phone Number:(Required)

Contact Email:(Required)

Email of person in charge of booth:(Required)

Reservation Details (Please specify desired quantity) :

Inside booth at $3,000 each per 10' wide by 8' deep(Required)

Please enter a number from 0 to 10.

Outdoor booth at $2,000 each per 10' wide by 10' deep(Required)

Please enter a number from 0 to 10.

Included in booth price is two padded chairs, one 8’ table, and drayage (to and from your booth), electric, badges, complimentary drinks / hospitality area, storage if necessary and promotion costs of the show. No hidden costs!

Credit Card – To secure your same booth space for the 2023 Suppliers show, payment must be made along with this registration form. We will run this card and send a receipt immideately after submission. For new suppliers it is first come, first serve on available booths. *If you need to pursue an alternate form of payment please call Darryl Searer at 574-903-3850 to discuss*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name