Exhibitor Booth Registration Form

Company Name:

First Name:

Last Name:

Address:

City:

Province:

Postal Code/Zip Code:

Phone: (Please include area code)

Fax: (Please include area code)

Email:

• Please select the number of booths you require.
• You may enter in your most desired booths in the "Booth Number Requests" box below. (2 requests per number of booths)

Booth Type:

Number of Booths:

Booth Number Requests:
Please enter 2 requests per number of booths you have ordered. Please enter numbers only, separated by a comma. Any other text that you enter will be ignored.

CANCELLATION POLICY
All cancellations must be made in writing. The date on which the notice of cancellation is received at ACSESS shall be the official date of cancellation. Should an Exhibitor cancel the following terms will apply: Cancellations received up to and including MARCH 29th will receive a 50% refund. NO Refund after MARCH 29th.

Subtotal:

Tax (5% HST):

Total:

Payment Method: