2019 Cornbelt Cow-Calf Conference & KIIC Farm Show Friday January 25 & Saturday January 26 2019 Question Title * 1. Business Name (Will Appear on Booth and Advertising) Question Title * 2. Contact Information. Your Name Address: City, State Zip Billing Address if Different, pls include City, State Email: Telephone: Cell: (optional but used to send you messages during the show) Question Title * 3. Describe Your Business, Products or Services. (Used in the Show Guide, plus used to keep competing vendors separated) Question Title * 4. Booth Size Requested - Pipe, Drape and 2 chairs and at least one 8' table provided by Bridgeview Center. See Question 5 for link to prices. ** Please note, you do not need to pay today, you will be billed later ** 10x10 10x20 10x30 10x40 20x20 40x40 Other (please specify) Question Title * 5. Booth Location - You may request a specific location. Booth Layout is here:BOOTH LAYOUT, COST & SELECTION I do not have a Preference I want the exact same spot as last year. Must be registered by Dec 1st, Must be paid by Dec 31st 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. Question Title * 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 26. If you chose this, we will contact you to discuss the schedule Question Title * 7. Do you need Electricity? Electricity is $15. *All new Electrical Service at Bridgeview this year following a $100,000 investment! Yes, I need electricity No, I do not need electricity Please list special electrical requirements beyond basic 110 Question Title * 8. Do you need Forklift Service? Add $20 which covers both move in and out. (Bridgeview charges us for this) Yes No Question Title * 9. 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 11 1/4 Page - Full Color $185. Art and Fee due by January 11 1/2 Page - Full Color V or H $325 Art and Fee due by January 11 Full Page - Full Color $475. Art and Fee due by January 11 Full Page Prime - Full Color- First Inside or back page - $550 Art and Fee due by January 11 Front Banner - Full Color $400. Art and Fee due by January 11 OTHER Marketing Options (We'll Call You) This could be but not limited to on-site signage, Radio Ads, etc Question Title * 10. 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 contact us if you have questions. Contact Tanya or Gail at 641-932-2112 or email to firstname.lastname@example.org Billing or payment inquiries to Lori@kiicradio.com **You may add additional comments or questions below. SUBMIT MY REGISTRATION!