The Small Business Show SOHO Syracuse Booth Registration You can use this "print version" form to easily register via regular (snail) mail, or fax, or you can also use the secure form to submit this registration online. You can print this form and fill out the requested information, or you can fill that information first and then print it. Please, all the information is needed ("fax" is the ONLY one NOT required), for proper and prompt processing. Please, read the REGULATIONS carefully, before sending this application. Send this information before Sept. 6, 2011 (to avoid $25.00 late fee) to: Premier Promotions, 4280 Persimmon Path, Liverpool, NY 13090 This form can also be faxed to (315) 622-3396 For more details on exhibiting, call Premier Promotions in Syracuse (315) 622-2249 BOOTH INFORMATION BOOTH RATES CANCELLATION POLICY
Company
Contact Name
Type of Business
Address
City
State
Zip
Phone
Fax
Email
Booth Fees	$575* Per Booth $550* Per Booth (SSA Discount Rate) $525* Non-Profit
Number of Booths
Total *(plus $25 late charge per booth after 09/6/11)	$
Charge My	CHECK (payable to: Premier Promotions) IMS Barter VISA MasterCard American Express Discover
Card Number
Card Holder Name
Expiration Date (mm/yy)	-You can fax credit card information to 315-622-3396- (Premier Promotions' Tax ID# 264-90-6828)
SIGNATURE (required)	_______________________________________
I understand that submitting the completed Registration Form is a contract "with regulations" committing for booth space at The Small Business Show SOHO Syracuse 2011 (Please sign below, signature required) Signature:___________________________________ Date:________________ (by signing this form, I accept the regulations carried with the contract)