Use the form below to register for a tabletop exhibit for the conference.

* You may also download a printable version of the tabletop exhibit form and mail payment by clicking here:
   Printable Tabletop Exhibit Form
 

Required     Optional   Tabletop Exhibit Options There is tabletop exhibit space available at “The 6th Annual YaYa Network” Conference on August 14, 2008. We would like to invite you to participate at this year’s conference that will be held at Disney’s Coronado Springs Resort. The exhibit space is located inside the ballroom, where all general sessions will take place and extra time is set aside for attendees to visit with the exhibitors.Set up time starts at 6:30 a.m. on Thursday, August 14 and must be complete by 7:30 a.m. The breakdown time is 3:00 p.m. that afternoon. Each table can have up to 2 people. Each table can be shared by up to 2 companies with one registrant from each company. Additional company persons will need to register through our conference registration form. Please Select an Option: Member - No Electric   $350   Member - With Electric   $375   Non-Member - No Electric   $400 Non-Member - With Electric   $425 Partner, Sponsor, Speaker, or Complimentary   $0 With Electric    No     Yes If you are a Partner, Sponsor, Speaker, or Complimentary, please select which from the drop-down menu.   Partner Sponsor Speaker Complimentary If you are a Partner or Sponsor, please fill in the name of the group or company you are with. If you are Complimentary, please fill in information about your comp.     Contact / Payment Information Please fill out all required contact / billing information below.     First Registrant First Name:   Last Name:   Title:   Company:   Address:   City:   State:   AlabamaAlaskaArizonaArkansasCaliforniaColoradoConneticutD.C.DelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip:   Telephone:   Fax:   E-Mail:   Web Site:       Second Registrant First Name:   Last Name:   Title:   Company:   Address:   City:   State:   AlabamaAlaskaArizonaArkansasCaliforniaColoradoConneticutD.C.DelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip:   Telephone:   Fax:   E-Mail:   Web Site:     Billing Address    Check if billing address is same as above. If you are a free exhibitor, you must check this even though you will not be billed. First Name:   Last Name:   Address:   City:   State:   AlabamaAlaskaArizonaArkansasCaliforniaColoradoConneticutD.C.DelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip:     Payment - Make sure to select a payment method even if you are Complimentary. Payment Method:   Credit Card Check Complimentary       Credit Card:   Visa Master Card American Express   Name:   Credit Card Number:   Exp. Date:   01 02 03 04 05 06 07 08 09 10 11 12 / 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017   Questions / Comments Enter any questions and/or comments: