Florida Police Chiefs Association - FPCA OnLine: 2004 Summer Conference

Marriott's Bay Point Resort Village
4200 Marriott Drive
Panama City Beach, FL 32408
Conference Dates: June 27 - July 1, 2004 - Exposition Dates: June 27 - 29, 2004.
Click Here for Driving Directions from Yahoo Maps

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

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

Company representatives at Conference: (Please print names exactly as name badges should be prepared.) The registration fee includes tickets for the first 2 representatives to the following events: Host Chiefs Night, Installation Banquet, and Farewell Breakfast. Additional representatives desiring event tickets are $75 each.

1. Complimentary

2. Complimentary

3. $75

4. $75

5. $75

6. $75

REGISTRATION INFORMATION: Booths are sold and assigned on a first come/first serve basis. Click here to check the booth layout for availability. Questions? Please call 1-800-332-8117.

Booth # Requested   Alternate # 1   Alternate # 2

Booth Type?  Portable   Table Top
Electric Needs?
1-3 amps. (free)      4-6 amps. (+$20) 7-10 amps. (+$35)  None.

Special Requirements?

Product Description:

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

Who should we contact about a sponsorship?

Phone Number:

Number of Booths	@$675	=
Number of Booths	@$725 (Prefunction area)	=
Number of Booths	@$875 (Food area)	=
Additional Reps	@$75	=
Electric Upgrade?	@$20 or $35	=
$100 Deposit (Per booth)		Due with Registration
Amount Enclosed
Balance		Due May 26, 2004

Please note: all cancellations are subject to a $65 administrative fee. Sorry, but no refunds will be given after May 26, 2004.

Payment Type:
Credit Card#:
Expiration Date:
Name on Credit Card:
Signature:

Return form with payment to: Florida Police Chiefs Association, Conference Registration, P.O. Box 14038,Tallahassee, FL 32317-4038 or FAX to 850-219-3640.

The undersigned hereby authorizes FPCA to reserve exhibit space in the Marriott Bay Point Resort Village, Panama City Beach, Florida, for use by above company/organization during the 52nd Annual Summer 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

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