Congratulations to Emergency Vehicle Supply, winner of the exclusive 30 minute training session with conference attendees!

Renaissance Resort at World Golf Village
500 - South Legacy Trail, St Augustine, Florida 32092
Call for Reservations at (904) 940-8000 - FAX (904) 940-8008
Click Here for Driving Directions from Yahoo Maps.

Vendor Registration Form

If your company is not already a Business Member, join the Florida Police Chiefs Association and receive 20% off your booth rental.
Click Here for Membership Application

Please enter information exactly as it should appear in the Vendor Directory.

Company
Address
City/State	Zip
Contact Name
Telephone	Fax Number
E-Mail Address
Web Address

Company representatives at conference: (Please print names exactly as name badges should be prepared.) Booth fee includes 2 company representatives; additional representatives may register for $45 each.

1     Complimentary

2     Complimentary

3     $45

4     $45

5     $45

REGISTRATION INFORMATION: Booths are sold and assigned on a first come/first serve basis. Click here to check the booth layout for availability.  Please call 1-800-332-8117 if you would like to reserve a silver or bronze sponsor booth or if you have any questions regarding booth rates or selection.

EXHIBITION HOURS: Exhibit hall shall be closed except for hours designated on official program.  Exhibit hall will be secured immediately after closing to protect the exhibits and merchandise.  Security will be provided by local law enforcement officials during off hours.  NOTHING shall be removed during the period of the exhibit from the exhibitor's space until the closing of the Expo without FPCA approval.  NOTE:  Early breakdown will result in a $200 fee and last booth choice at the next FPCA exhibition attended.

Booth # Requested   Alternate # 1   Alternate # 2

Booth Type -  Table Top   

Electric Needs?     1-3 amps. ($20)     4-6 amps.(+$35)        7-10 amps.(+$50)     None.  

Vehicle Space or Special Needs?

Product Description: (Please limit to 10 words or less)

Are you donating a door prize?  Yes   No   
Interested in being a sponsor?   Yes    No   

Who should we contact about a sponsorship?  

Phone Number

PLEASE NOTE: all cancellations are subject to a $100 administrative fee. Sorry, but no refunds will be given after December 5, 2006.

Number of Booths?	@$549	=
Less 20% for NEW MEMBERS Joining FPCA		=
Electric Service?	@$20, $35 or $50	=
Additional Reps?	@$45	=
Deposit	@$100 Per Booth	Due with registration
Amount Enclosed
Balance		Due 12/5/2006

PAYMENT INFORMATION:

Payment Type:	My Check is in the Mail. MasterCard. Visa. Purchase Order(# Below). Please Invoice Me.
Purchase Order #:
Credit Card#:
Expiration Date:
Name on Credit Card:
Billing Address:

RETURN COMPLETED FORM WITH PAYMENT TO: Florida Police Chiefs Association, Fax Number (850) 219-3640 or mail to: Conference Registration, P.O. Box 14038,Tallahassee, FL 32317-4038

The undersigned hereby authorizes FPCA to reserve exhibit space in the Renaissance Resort at World Golf Village, St. Augustine, FL, for use by above company/organization during the 2007 Mid-Winter Conference. The undersigned agrees to abide by the Exhibit Rules and Regulations and contract and ensures that all representatives working in the booth are aware of the terms, conditions and rules pertaining to the exhibition.

Authorized Signature	Date
Print/Type Name	Title

FOR FPCA USE

Date Received      Booth#   Back to FPCA Online