Exhibitor Registration Form

Please complete and return exhibitor registration form with payment on or before June 15, 2015 to:

NAMRC, c/o Felicia Hunter, Goodwill Industries of Greater Detroit, 3111 Grand River Avenue, Detroit, MI 48208 Direct: (313) 557-8757 Fax: (313) 557-8557 Email: fhunter@goodwilldetroit.org

Tabletop Exhibit Space (Includes full conference registration) Fee: $500.00

Tabletop Exhibit Space only (Registration and meals not included) Fee: $350.00

NAMRC will provide one (1) 30”x60” table and electrical outlet for each display. Additional equipment or connection setup may be provided at rental cost. Please call Felicia Hunter for pricing information.

PLEASE PRINT CLEARLY (OR TYPE) REGISTRATION DETAIL:

Company Name (for program printing):

Exhibit Representative: Name ____________________________________________________

Main contact name (if different than above):

Address:

City/State/Zip:

Telephone: E-mail: _ __________________

Additional set up needs or requirements: ___________________

Check one: ( ) check enclosed $ ( ) VISA ( ) MC ( ) Purchase Order

Cardholder Name: Card Number:

Credit card signature: Expiration date:

CANCELLATION POLICY: Written notice of cancellation of exhibit space must be received in writing by NAMRC by June 25, 2015 for 50% refund of the exhibit fee. No cancellation refund will be available after June 25, 2015.