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<strong>2012</strong> <strong>AMAC</strong> Airport Business<br />

Diversity Conference<br />

ST. LOUIS, MISSOURI<br />

EXHIBITOR REGISTRATION FORM<br />

Company name:<br />

Contact Details (Required Information)<br />

Ful name:<br />

Telephone number: Title:<br />

Postal address: E-mail address:<br />

City, State, Zip: Company website:<br />

Full name:<br />

Exhibitor Day Pass<br />

Company name:<br />

Full name: Company name:<br />

EXHIBITOR FEES X<br />

CORPORATION<br />

Booth and two Exhibitor Day Passes<br />

AIRPORT<br />

Booth and two Exhibitor Day Passes<br />

M/W/DBE/BUSINESS<br />

Booth and two Exhibitor Day Passes<br />

$1,500<br />

$1,000<br />

$750<br />

ADDITIONAL EXHIBITOR PASS $175<br />

PAYMENT METHOD X<br />

Check enclosed (made payable to <strong>AMAC</strong>)<br />

Send invoice<br />

MasterCard<br />

Visa<br />

American Express<br />

Full payment is due to <strong>AMAC</strong> on or before Tuesday, May 15, <strong>2012</strong><br />

Conference Registration Forms<br />

Please select the special events you want to add on X<br />

Golf Tournament $135<br />

Celebrating Women In Aviation $50<br />

<strong>AMAC</strong> After Dark Fundraising Event $50<br />

CREDIT CARD INFORMATION<br />

Card Number<br />

Exp.Date<br />

Name Printed<br />

Signature<br />

Booth Package Includes:<br />

• One (1) Full Conference Admission (excludes all add-on and By Invitation Only events)<br />

• Two (2) Exhibitor Day Passes for Tuesday ONLY (does not include Awards Dinner) Additional Exhibitor Day<br />

Passes are $175 each<br />

• 10' x 10' booth, with 6' draped table and two chairs, 7" x 44" company identification sign (black and white)<br />

• Listing in Exhibitor Directory.<br />

• Additional company personnel who wish to attend the conference will be charged the full conference<br />

registration fee.<br />

Please note: Additional Registration information is required. Please call Elite Global Events:<br />

Yesmin Asmar: 202-276-8636 (or) Jaya Prasad: 850-264-9071<br />

Online Registration is available on the Conference Registration website:<br />

http://www.cvent.com/d/1cqmsx<br />

Refund Policy: All sales are final<br />

Please complete and return to the <strong>AMAC</strong> Office via fax at (703) 414-2686 or via mail to:<br />

Airport Minority Advisory Council 2345 Crystal Drive, Suite 902 Arlington, VA 22202<br />

501 (C) (6) Federal ID # 62-1398266<br />

www.amac-org.com/annualconference.html | <strong>2012</strong> <strong>AMAC</strong> AIRPORT BUSINESS DIVERSITY CONFERENCE 21

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