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Contact Name |
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| Contact Email |
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Contact Phone |
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Primary Exhibitor's Name |
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Primary Exhibitor's Email |
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Job Title |
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Company |
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Mailing Address |
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| City |
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| State/Province |
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| Postal Code |
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| Country |
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| Phone |
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This info will be used on
the web, in the binder or on brochures...
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| Brief title of
your exhibit (3 to 6 words):
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Full title of your exhibit
(5 to 10 words - 115 characters):
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Longer description of your exhibit
(2 to 4 sentences - 255 characters and spaces) for use in advertising: |
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Choose your sponsorship level: |
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Select your first 3 choices of exhibit space.
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| Spouse Attending? |
If
so, please give us your spouse's name:
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| I will attend the following tours
(unless they are competitors): |
| Zimmermann & Jansen |
delegate spouse |
| RuhRPumpen |
delegate spouse |
| G&G Coke Drums |
delegate spouse |
| SES Acoustic Emissions Workshop |
delegate |
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Vendors: |
We will
be advertising your company in our newsletter, post
card, brochure, seminar web page and including you in
our printed seminar handouts. Once we receive
payment, you will be included. Additional company exhibitors can be
registered and
paid
at your convenience. |
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How to Pay: |
Checks: We prefer you register on-line. 1)
You may print a copy of this form and submit it with
your check, or 2)
create an invoice/receipt now.
Mailing Address:
1410 Lowe Ave.
Bellingham, WA 98229
Fax: 1.866.854.6267
Phone (USA)
1.360.966.7251 pst or 360.966.0447
Phone (CAN)
1.403.668.7467
Phone (UK)
44.02081.503669
Credit Cards: Pay
online
securely with Visa, Mastercard or AmEx. |
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By attending the seminar, you allow Coking.com LLC
to use your photo and comments in marketing and
promotions. |
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We are in
the process of
selecting refiner and vendor presenters
to speak at the seminar. |