<p> Trace Evidence Symposium Exhibitor Registration August 9-10, 2011 Kansas City, Missouri</p><p>Organization Registration The following information will appear in the Exhibitor Directory. Please print clearly.</p><p>Company Name: </p><p>Address: City: State: Zip: </p><p>Telephone: Fax: </p><p>Website: </p><p>Contact Person Please provide contact data for one person who will be the main contact for your organization. If the contact person is not attending the symposium, complete the attached registration form with the contact data for the two staff persons who will represent your organization. Note: The symposium exhibitor fee covers the cost of two people to attend. </p><p>The following information will appear on your nametag and the Exhibitor Directory as stated below.</p><p>Name: </p><p>Title: </p><p>Division: </p><p>Organization: </p><p>Address: </p><p>City: State: Zip: </p><p>Telephone: Fax: </p><p>E-Mail: </p><p>Will the Contact Person be attending the symposium? Yes No Exhibitor Registration The following information will appear on your nametag and the Exhibitor Directory as stated below.</p><p>Name: </p><p>Title: </p><p>Division: </p><p>Organization: </p><p>Address: </p><p>City: State: Zip: </p><p>Telephone: Fax: </p><p>E-Mail: </p><p>Exhibitor Registration The following information will appear on your nametag and the Exhibitor Directory as stated below.</p><p>Name: </p><p>Title: </p><p>Division: </p><p>Organization: </p><p>Address: </p><p>City: State: Zip: </p><p>Telephone: Fax: </p><p>E-Mail: Trace Evidence Symposium Exhibitor Payment Form August 9-10, 2011 Kansas City, Missouri</p><p>Payment must be received in full by Friday, July 1. In order to reserve your exhibit space, we must receive a deposit equal to half the amount of your booth fee. Exhibit assignments are based on a first come, first serve basis. </p><p>All requests for refunds must be made in writing. A full refund will be given for cancellations received on or before Friday, July 1. No refunds will be made after this date. </p><p>Exhibitor fee: $1,000.00</p><p>Company Name: (This will appear on all printed materials and the exhibit booth sign)</p><p>Booth Preference: (top 3 choices)</p><p>Payment Method: Check made payable to NFSTC is enclosed Money Order made payable to NFSTC is enclosed Credit Card (VISA or MasterCard only)</p><p>Name on Card: Card Number: Expiration Date: Security Code: Billing Address (if different than office address)</p><p>Return completed forms with deposit to: JMA Consulting Margaret Black, Exhibit Manager 20363 Flushing Meadows Court Ashburn, VA 20147</p><p>Contact Margaret Black at 703-729-5263 (office) or 703-509-2550 (cell) with any questions. </p>