Vendor Registration form

MASCA 2013 Vendor Registration Form

Phone Number

Area CodePhone Number
E-mail
Exhibitor

PrefixFirst NameLast Name
Company Name
Additional Exhibitor 1

PrefixFirst NameLast Name
Additional Exhibitor 2

PrefixFirst NameLast Name
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Conference Registration
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10x8 Exhibit Booth$600.00

10X10 Booth Upgrade

10x8 Exhibit Booth w 1/4 Page Ad$675.00

10x8 Exhibit Booth w 1/2 Page Ad$750.00

10x8 Exhibit Booth w Full Page Ad$850.00

20x8 Exhibit Booth $1,050.00

Late Registration After 5/1/13$100.00

Material Display/Handout$300.00

MASCA Night Seafood Buffet$45.00

Quantity

Additional Exhibitor Meal Plan$160.00

Quantity

Full Page Ad$300.00

1/2 Page Ad$200.00

1/4 Page Ad$100.00

Total $0.00
Mail completed form & payment to:

MASCA Conference 2013

1810J York Road Suite 321

Lutherville, MD 21093
Should be Empty: