If you have any questions, please contact Ken Ivey at 803.933.1205 or kivey@masc.sc.

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* 1. Organization/Company Name

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* 2. Organization Address

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* 3. Primary Contact (This is the person who will receive all information regarding exhibit opportunities.)

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* 4. Title

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* 5. Identifying number (This number is used by MASC as a unique identifier)

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* 6. Mailing Address for exhibit opportunities

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* 7. Email address

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* 8. Phone Number

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* 9. Fax Number

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* 10. Type of Business/Product
(Please describe your product/services in 2-3 sentences)

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* 11. Please check all the groups that your company is interested in exhibiting with.

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* 12. Is this an update to existing exhibitor profile?

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