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City

State:

Phone#::

___________________________

Fax #:

Credit Card Number:

Exp. Date:

EXHIBITOR REGISTRATION FORM

Company Name:

Contact Name:

Address:

Zip:

______________________________

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 companies may register four (4) representatives free of charge for every 6’ x 10’ booth or equivalent space assigned. Additional badges may be purchased at $250.00 each. An exhibitor badge entitles the exhibitor access to the exhibit floor, continental breakfasts, refreshment breaks, receptions and the general session program. Exhibitor badges may be picked up at the Exhibitor Registration Desk on-site.

COMPLIMENTARY EXHIBITOR BADGES:

1. 2. 3. 4.

ADDITIONAL EXHIBITOR BADGES AT $250.00 PER BADGE:

1. 2. 3. 4.

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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