Exhibitor Information

EXHIBITOR INFORMATION

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Personnel Badges

Use the form below to register ALL personnel who will be assisting in the booth or attending MD Expo on behalf of exhibiting company. Each booth is allowed (2) booth personnel. Any additional personnel will be charged a $150 admission fee (fee includes hospitality events, education and trade show admission). Completed forms must be submitted by Thursday, SEPTEMBER 22.

Booth Number*
Exhibiting Company (as it should appear on badge)*
Name of person submitting this form*
(as it should appear on badge)
First Last
Is the above person attending the event?
- Yes
- No
Additional Booth Personnel
Click the plus sign after the first person to add additional names.
First Name Last Name Email Cell (for onsite contact only)
Address (company headquarters)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Main Phone (for company)*
Email (of person submitting form)*
Phone
This field is for validation purposes and should be left unchanged.

events@mdpublishing.com

800-906-3373

EXHIBITOR INFORMATION

Personnel Badges

Click the plus sign after the first person to add additional names.

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First Name	Last Name	Email	Cell (for onsite contact only)