2017 Cornbelt Cow-Calf Conference & KIIC Farm Show Friday January 27 & Saturday January 28 * 1. Business Name (Will Appear on Booth and Advertising) * 2. Contact Information. Your Name Address: City, State Billing Address if Different, pls include City, State Email: Telephone: Cell: (optional but used to send you messages during the show) * 3. Describe Your Business, Products or Services. (Used in the Show Guide, plus used to keep competing vendors separated) * 4. Booth Size Requested - Pipe, Drape and 2 chairs and at least one 8' table provided by Bridgeview Center. Booth Prices are discussed in question 7. ** Please note, you do not need to pay today, you will be billed later ** 10x10 10x20 10x30 10x40 20x20 40x40 Other (please specify) * 5. Booth Location. NEW - You may request a specific location. Booth Layout is here:BOOTH LAYOUT & SELECTION I do not have a Preference I want the exact same spot as last year. Must be registered by Dec 1st. I want to request the Booth Number or Booth Numbers as indicated below. I realize this is subject to availability on a first come basis - and payment by Dec 31. If you are requesting a specific location, please provide your 1st, 2nd and 3rd option. If you are requesting more than 1 booth space, please indicate all booth numbers. * 6. Payment Type - what is your preferred way to pay for the booth fees? (Payment not required to register for the show) Cash/Check - We will send an invoice to the address provided above Credit Card PayPal Installments - split payments over the months from now till January 27. If selected we will contact you to discuss your preference * 7. Do you need Electricity? Electricity is $15. (WiFi is Free) Yes, I need electricity No, I do not need electricity Please list special electrical requirements beyond basic 110 * 8. KIIC will again produce a Full-color show guide with vendor and session information at no charge given to the attendees. This Guide will also contain the session proceedings. If you would like to purchase advertising in this guide, please indicate below and we will contact you for information. Use your Co-op dollars! No Thanks Not Sure 1/8 Page - Full Color $110. Art and Fee due by January 13 1/4 Page - Full Color $185. Art and Fee due by January 13 1/2 Page - Full Color V or H $325 Art and Fee due by January 13 Full Page - Full Color $475. Art and Fee due by January 13 Full Page Prime - Full Color- First Inside or back page - $550 Art and Fee due by January 13 Front Banner - Full Color $400. Art and Fee due by January 13 OTHER * 9. Thank you for registering - don't forget to press SUBMIT below! We will be back in touch with you shortly. You may add any additional comments or questions in the box below. You may also call us if you have questions. Contact Tanya or Gail at 641-932-2112. SUBMIT MY REGISTRATION!