WIU Ag Mech Club - Registration Form

44th Annual Ag Mech Farm Expo, Feb. 8th & Feb. 9th 2014 Hours: Saturday 9am-5pm and Sunday 10am-4pm Refer to the exhibit map for your exhibit site choice(s) and specify if more than one space is desired. Limited to four (4) spaces per company. Review Booth Prices and Ticketing Procedures Click here for a larger version of the Booth Layout Map
1st Choice
2nd Choice
Outside Exhibit Space?	No Yes If yes, length (in feet) of space needed:
Type of Product or Service
Estimated weight of machine or equipment
PLEASE ANSWER THE FOLLOWING QUESTIONS
Do you have special needs other than the 120 volt electrical service provided at your booth? No Yes If yes, please explain your specific needs. Some special requests will have an additional charge.
Company Name (as you would like it to appear on the Show Program)

Representative Name

Title

Address
Street, City, State, Zip Code
Telephone Number

Fax Number

Email Address

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44th Annual Ag Mech Farm Expo, Feb. 8th & Feb. 9th 2014 Hours: Saturday 9am-5pm and Sunday 10am-4pm