2024 Mid-Year Meeting Service Provider Trade Show This is an event with 6' tables for service provider members only. Your booth cannot exceed the 6’ space – no exceptions. This form is for a Trade Show table only. Individual atttendees must also submit a meeting registration. Trade Show Diagram (for table # selections) Trade Show Details Company Name * First Name * Last Name * Email * Table Request 1 * Table Request 2 * Table Request 3 * If you have a discount code, enter it here Apply Event Fee(s) * Trade Show Fee - $ 750.00 Total Authorize.net (Credit Card) Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - United States American Samoa Bermuda Canada Germany Ireland Israel Mexico United Kingdom United States Minor Outlying Islands State/Province * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Review