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ISLAND EXHIBITOR REGISTRATION FORM

Company Name:

Contact Name:

Address:

City

State:

Zip:

Phone #:

Fax #:

___________________________

____________________________

Credit Card

Exp. Date

Exhibitor Registration: All participants affiliated with exhibiting companies must be registered. Each person will be issued an exhibitor’s badge and must be employed by the exhibitor or have a direct affiliation. Exhibiting island companies may register sixteen (16) representatives free of charge for every 12’ x 20’ island Additional badges may be purchased at $250.00 each.

An exhibitor badge entitles the exhibitor access to the exhibit floor, the continental breakfasts, refreshment breaks, receptions and the general session program. Exhibitor badges may be picked up at the Exhibitor Registration Desk on-site.

**This form is to only be used by island exhibitors. If you have a single booth space, please use the Exhibitor Registration Form.**

COMPLIMENTARY EXHIBITOR BADGES:

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ADDITIONAL ISLAND EXHIBITOR BADGES AT $250.00 PER BADGE:

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RETURN THIS FORM BY DECEMBER 14, 2009 to: Donna Rosenstock at 856-848-3522 or email drosenstock@slackinc.com Badge requests received after the deadline of December 14, 2009 will be processed on-site

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