Exhibitor Registration - Mid

Join us June 14th, 2016 for
MWFA's 35th Annual
Fastener Show
Belvedere Banquets – 1170 W. Devon
Elk Grove Village, IL 60007
Set-up Time: 10:00am-12 noon
Show Hours: 1:00-6:00pm
Fastener Bash: 6:00-8:00pm
Exhibitor Registration
(Please print or type – info will be used for show book)
Company _____________________________________________________________________________________________________________
Brief Product/Service Description __________________________________________________________________________________________
Street Address __________________________________________________ City, State, Zip _________________________________________
Phone Number ________________________________________ Fax Number _____________________________________________________
E-mail ______________________________________________ Website _________________________________________________________
Representative: (to receive further info & listed in show book) ___________________________________________________________________
We would like ________ (number) exhibit spaces for 2016. $600 MWFA Member
$650 Non-Members
Exhibit space includes: Skirted 6' x 30" table, 2 chairs, company table sign, two luncheon tickets, free attendee passes and Fastener Bash
(open to all badge holders).
Location choices (please list three) _________
_________
We will need electric* (additional $25)
No
Yes
n
n
_________ See reverse side for floor plan.
Additional Lunch Tickets $25
n Invoice Us n Check Enclosed n Bill My Credit Card
Yes
n MasterCard n Visa
n No. of tickets ________
n American Express
Card Number _____________________________________________ Exp. Date _______________________
Signature _________________________________________________
Return this form with fees to: MWFA, P. O. Box 5, Lake Zurich, IL 60047. Note: No refunds after May 1st.
Cancellation prior to May 1st subject to a $100 service fee. *If you require electric, please select perimeter table or contact
MWFA Office at 847-438-8338.
Hotel Information Fastener Expo & Golf Outing 2016
Country Inn & Suites (connected to Belvedere)
1160 West Devon Ave.
Elk Grove Village, IL 60007
(847) 985-0101
NOTE:
This is a Table Top Show,
please do not bring booths, as
there will not be enough room
for their set up.
$90.00 Room Rate
Refer to Mid-West Fastener Association
Includes complimentary breakfast, internet and
airport shuttle.