| Business Name: | __________________________________________________________________ |
| Contact Name: | __________________________________________________________________ |
| Primary Products: | __________________________________________________________________ __________________________________________________________________
|
Address: | __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
|
| Telephone: | ______________________________ |
| E-mail: | ___________________________________________________ |
| Number of Tables Desired: | _______ |
| Are you planning to use large and/or freestanding displays? If yes, please describe: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ |
| Do you have any special needs?: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ (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: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ |
| _____ Check here if you would like NJAC Flyers to distribute prior to the convention. |