Vendor Registration

Firm:
Contact Person:
Address:
Suite:
City:
State:
Zip:
Phone:
Fax:
Email:	(E-mail)
Do you want a link to your Website from the Womans Show website?
Website:
Booth Selection: Please input your top 3 desired booth locations below. Click here for booth map.
Booth1:
Booth2:
Booth3:
Products or Services to be Exhibited (Please be specific in listing booth items, including brand names of products. ONLY these items can be presented in your booth.)
Person responsible for setting up booth:

Phone Number:
Do you need signage provided?
Booth Information & Quantities:
Single Booth Quantity:	x $725
Double Booth Quantity :	x $1275
Tabletop Booth Quantity:	x $500
Marketplace Booth Quantity:	x $2000
Corner Booth Quantity:	x $50
Badges Quantity Needed:	x $3
Advance Show Tickets Quantity:	x $5
Your Total :	$
Payment Method :
Billing First Name:
Billing Last Name :
Billing Company :
Billing Address :
Suite:
Billing City :
Billing State :
Billing Zip:
Billing Phone :
Billing Fax:
I agree to be charged the amount shown:
Card Type :
Card Number :
Expiration (mm/yy) :