NCPCA PCT School Exhibitor's Contract

NCPCA
2501 Aerial Center Pkwy
Morrisville, NC 27560
p. 919.459.2079
p. 800.547.6071
f. 919.459.2075
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57th Annual Pest Control Technicians' School
Hilton North Raleigh, Raleigh NC
January 15-18, 2007

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Exhibitor's Contract

(All space includes a draped table and two complimentary registrations)

Click here to register for PCT.

NCPCA Members	Non-NCPCA Members
$450 per 8' x 10' Booth	$775 per 8' x 10' Booth
$600 per 8' x 20' Booth	$925 per 8' x 20' Booth

GENERAL INFORMATION

First Representative:
Social Security Number: If you wish to earn CCUs
Second Representative :
Social Security Number: If you wish to earn CCUs
Company:
Address:
City:
State:
Zip:
Telephone:
Fax:
E-mail Address:

I will need: Electric Phone line Other

ADDITIONAL REGISTRANTS

The first two exhibitor registrants are free. There is a $50 registration fee for each additional exhibitor registrant. Please list all additional exhibitors: (These registrants are not eligible to earn CCUs.)

TOTAL FEES

Exhibit space fee: $

Additional registrants: $

GRAND TOTAL: $

CANCELLATION POLICY

Payment in full is due, along with this signed contract, no later than Dec. 9, 2005. Written cancellations will be accepted from Dec. 10 - 31, 2005, minus a $50 processing fee. No refunds of prior deposits shall be made after Jan. 1, 2006. I accept the terms of this contract as outlined above.

Signature: Date:
(please type your name in lieu of a signature)

PAYMENT METHOD

Credit Card Charge Amount:
Credit Card Type:
Credit Card/Account #:
Credit Card expiration date (mm/yy):
Credit Card security code:
Name as it appears on credit card:
Person approving charge:

If you wish to pay by check, DO NOT send this form on-line.
Please print this form and send it along with a check to the address below.

NCPCA
P.O. Box 3159
Durham, NC 27715-3159
Phone: 800.547.6071
Fax: 919.383.0035

Checks should be made payable to NCPCA.

Duplicate this form for multiple registrations. Keep a copy for your files.

QUESTIONS: call 800.547.6071 or e-mail mikeb@ncpca.org

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