August 21, 2008
Oak Hill Mansion & Northern Beach Park
Carmel, Indiana

Note: All fields are required for registration.
Must pay with a credit card to register online.

Company Name:
Company Contact:
Address:
City:
State:
Zip:
Phone:
email:
Brief description of services offered and/or product lines sold:
Table Top Exhibit
$275 each

Eqiupment Display Exhibit
$375 each
Quantity of booths required
Lunch
$13 per person
Will you require a picnic table in your booth?  
     
LIST ALL REPRESENTATIVES ATTENDING

Please note the amount due. You will need to enter your total at checkout.

Submit form to IPLLA and proceed to checkout.