| REGISTRATION FORM |
| SME CHAPTER 159 ANNOUNCES THE SOURCES & SOLUTION 2006 TABLETOP EXPO AND MEMBER APPRECIATION NIGHT THURSDAY, OCTOBER 12, 2006 4:00 - 8:00 P.M. IN THE MIRAGE ROOM AT TUCSON'S GRILL AND CANTINA |
Company Name _____________________________________________________________________ Address
___________________________________________________________________________ Phone Number _________________________________ Contact Person's Name
________________________________________________________________ Contact Phone Number if different from above
_____________________________________ Number of Tables @ $250/table (NO credit cards)
______________________ Identify table numbers ________________________ (refer to
table layout link on main S & S 2006 web page) Electrical hookup(no additional charge) (120 v. only) Number of Representatives attending ___________________ Total amount submitted with registration form
_______________________ Send check/money order along with completed registration form
to: Deadline for registering a table is Monday, October 9, 2006 |
SHIP TO ADDRESS (if needed, for shipping display items, handouts, etc.) The Mirage at Tucson's 13565 ICOT Blvd. Clearwater, FL 33760 Phone: 727-535-2275 Attn: SME Chapter 159 Tabletop Expo |
HOTEL ON PREMISES Holiday Inn Express-ICOT Center 13625 ICOT Blvd. Clearwater, FL 33760 Phone: 727-536-7275 www.holiday.clearwater@ahmco.net |
For questions regarding the S & S 2006, contact: Richard Thurman (727-549-7070) (thurmand@ctc.com) Mike Beebe (727-549-7032) (beebem@ctc.com) |