2012 Exhibitor/Advertising Form

Mid-Atlantic Region Annual Conference
March 22-24, 2012
Baltimore Crowne Plaza
2004 Greenspring Dr
Timonium, MD

Upon submitting your information in the form below, you will be redirected to an on-line payment page, using a secure PayPal® interface, where you will be able to pay for exhibition booth & advertising fees with a credit card.

If you are unable to pay with a credit card, you can print the prospectus, and send it, along with a check payable to "MAR-AMTA Conference" to:

Julie Garrison
643 Ridgefield Court
Glenburnie, MD 21061
garrison_julie@yahoo.com
260-602-2568

Payment using the mail-in form, must be received by December 16th to qualify for the early bird discount (on-line payments must be mad e by end-of-day, December 20th). Please email advertisements by February 3rd to darcylipscomb@gmail.com.

Please print out the [ exhibits prospectus ] so you have all of the information about exhibiting.

Internship Displays

There is no cost for internship displays, but you must register by printing and filling out the confirmation and contract forms on pages 5 and 6 of the [ Exhibits Prospectus ] and sending both forms to Julie Garrison by mail or email (garrison_julie@yahoo.com).

Registration Form
* Organization:  
* Address:  
* Contact Person:  
* Phone:  
* Email:  
* Exhibitor Names for Badges:
(May enter up to 3 names)		  
 

Door Prize Donation(s)   (All Donations are Tax Deductible since we are a 501c3 Organization)
Item(s) being Donated:  
Approximate retail Value:  
 
* I have read and agree to the terms of the Exhibitors Agreement.
 
By hitting "Submit" this registration form will be emailed to Julie Garrison, and you will be re-directed to a payment form. If you have any trouble registering, please contact Julie Garrison garrison_julie@yahoo.com.
  STOP - Before you click the "Submit" button, please do not click "submit" more than once or multiple submissions will be sent in your name.
     
    * Denotes required elements