Exhibitor Registration

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2022 NDACE County Roads Conference Exhibitor Registration Form

72nd Annual Institute: January 26 - January 28, 2022

Location: Astoria Hotel, Dickinson ND

This registration includes ONE Conference Registration and ONE meal packet. Additional registrations and meal packets may be selected below.

* required

Contact Information

First Name^*

Last Name^*

Title^*

Organization Name^*

Address^*

City^*

State^*

Zip Code^*

E-Mail^*

Phone^*

Vendor Information

Are you an engineering firm ?^*

Yes

Do you need electricity at your booth?^*

Yes

Do you need a tablecloth?^*

Yes

How many will attend the banquet?^*

Number of Exhibits

Booth Fee: $400.00

(Includes ONE Member Registration and ONE Meal Packet)

Number of Additional Registrations

(includes all meals)

Total Fee^*

Names for Name Badges^*

Payment^*

Mail Payment

Cancellations received 14 days prior to the convention will receive a full refund. No‐shows or cancellations received less than 14 days prior receive no refund. Please make checks payable to NDACE

Please send your payment promptly to:
Genny Dienstmann
NDACE Conference
PO Box 877
Bismarck ND 58502‐0877

The above establishes an application for exhibit space at the NDACE Annual Conference. The confirmation of this application becomes a contract. By making this application, the below signed agrees to comply with and be subject to the terms and conditions contained in the Exhibit Contract.

I agree to the terms and conditions as stated above.^*

Exhibitor Registration

2022 NDACE County Roads Conference Exhibitor Registration Form

72nd Annual Institute: January 26 - January 28, 2022

Booth Fee: $400.00

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