Dealer Registration Form for NJAC 2002


Business Name:

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Contact Name:

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Primary Products:

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Address:

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__________________________________________________________________

Telephone:______________________________

E-mail:___________________________________________________

Number of Tables
Desired:
_______

Are you planning to use large and/or freestanding displays? If yes, please describe:

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____________________________________________________________________________

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Do you have any special needs?:

____________________________________________________________________________

____________________________________________________________________________

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(special needs may inculde electrical outlets, natural lighting, etc)

Please list the names of yourselves, and the people who will attend with you, so that we can issue badges for them:

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_____ Check here if you would like NJAC Flyers to distribute prior to the convention.