NYSNA2013 ConferenceBooth Application/Contract for Exhibit Space

Name of Booth: ______

(As you want it to appear on the booth sign and in the program and Desk Reference.

Name of booth must match the company contact person & his/her contact information belownot the broker information.)

Company Contact Person:______

Corporate Membership #: ______Email:______

Address: ______City______State______

Zip:______Phone # ( )______(ext)______Fax # ( )______

Authorization (All exhibit correspondence will be emailed to this contact) 

Exhibitor Name Badges:Four per booth. Extra badges $25 each. No one admitted without a badge. Please PRINT.

Description of Products/Services Exhibited (prior exhibitors – check the Desk Reference insert on lime green paper):

______

______

Booth Prices:

Early BirdBefore August 1, 2013….………….... $1200 $______

After August 1, 2013………………………….…. $1400 $______

Premium Booth Selection…………………….….. $ 100 $______

Subtract*Corporate Member Discount……….… $ 200 $______*must be current at time of payment & whenexhibiting

Corporate Membership (join)………………….… $ 150 $______must complete the corporate membership form if joining now

Add $25 per badge over four……………….……..$ 25 $______

Participate in “Stepping Up to MyPlate” Game $ 50 $______

Sponsorship Participation…………………………….……...$______

Total Due $______BOOTHS MUST BE PAID IN FULL

NYSNA accepts Mastercard &VISA

Booth Preference:

1______2______3______Put booth with Broker______Total # of booths:______

(Name of Broker)

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Office Use:

Date Received: ______Amt Paid: ______Check #: ______

Please order by checking the appropriate boxes (included with booth):
Exhibit Booth Tables –included with booth (per booth) at no charge:
 One 8’ table & 2 chairs or  Two 8’ tables & 1 chair or  Two 8’ tables & 2 chairs
* Table orders requested on the floor will be from GLE at the rate of $81 (8’)
Signs:
 Commodity Processor Sign
 Corporate Member Sign or  5 Star Corporate Member Sign  Sponsor Sign
Friday Dinner:
 Our Company WILL be using the complimentary Friday night dinner ticket
 Our Company WILL NOT be using the complimentary Friday night dinner ticket
*Any change of table order on the floor will result in additional expense due to the Decorator at time of set-up

DeskReference Information: Please provide information requested below for the popular “Desk Reference” portion of our program. Experience has proven these books to be quick references for Directors and their assistants when ordering from suppliers.

Check one, and only one, section of the Desk Reference in which your company (booth name on page one) should be listed:

___ Computers, Cash Registers & Money Counting Systems ___ Manufacturer ___ Distributor ___ NYS Approved Commodity Processor ___ Equipment Section ___ Other

NYSNA is not offering Broker booths. NYSNA will be grouping booths with their brokers if the manufacturer requests his/her company be placed with a broker (see page one). The Desk Reference will list EVERY BROKER who is an NYSNA corporate member with contact information for the entire state and a listing of every company the broker represents and products which are appropriate for schools.

All Exhibitors: List representative, or brokers, to contact for purchasing your products and / or services for specific areas of the state: If you have no broker for an area of the state, write either “none” or list the company representative to contact , with a phone number -- do not leave any blanks. PLEASE PRINT.

Area Representative or Broker

Metro / Long Island
Westchester
Albany
Syracuse
Binghamton
NorthCounty
Rochester
Buffalo

Make check payable to NYSNA and mail to: NYSNA

125 Wolf Road, Suite 315

Albany, NY12205

Or use the credit card acceptance form (page 4) to pay for your booth

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