2012 PowerTest - Company Description & Exhibit Guide Advertising

1. 100-Word Description & Exhibit Guide Advertising

Please use this form to submit your 100-word description and reserve space for an advertisment in the Exhibit Guide.

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* Exhibitor Information

Name: *

Company: *

Booth Number:

Email Address: *

Area Code & Phone: *

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* Please enter your 100-word company description for placement on the website and in the Exhibit Guide. The company description will be placed on the website as soon as it is received. The deadline for the exhibit guide listing is January 9, 2012.

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* Optional Advertisement in Exhibit Guide: Please select ad size to reserve space for your advertisement. The additional cost for this advertisement is listed. Ad copy and commitment must be received by January 9, 2012. Send ad copy to mrichard@netaworld.org.

Full page, color - $1,750

Half page, color - $1,050

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* Total Amount Due:

Prepayment is required. You will have the opportunity to provide your credit card information on the next page.