Ada Business Association - Expo Registration

Expo Registration

Field name	Field
Business Name
Contact Person
Business Address
Email Address
Phone Number
Do you need a table?	Yes No
Do you need a table linen?	Yes No
Do you need electric?	Yes No
Do you need internet?	Yes No
Will you provide a doorprize?	Yes No
Will you provide a booth, demonstration or service? Please describe.
Payment Information	Check (Send to P.O. Box 629, Ada, MI 49301) Credit Card (Visa and MasterCard only)
Credit Card Number
Expiration Date
3 digit security number

Note: Your information will be encrypted with SSL when sent