Form

Select Location:	Metro East, Illinois (September 18, 2008) Chicago, Illinois (October 8, 2008)
Company Name:
Contact:
Company Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Enter your company name below exactly as it should appear on your table tent:
Describe the product or service to be displayed (subject to approval):
Do you need a table with electricity?	Yes No
Enter code as shown: *