1. SPECIFY BOOTH PREFERENCES.
(A) SELECT BOOTH SIZE & TABLE.* (Note: One skirted table is included with each booth. All tables are 2' wide and 30" tall.)

Select Booth 8’ x 10’ ($1,275) 8’ x 10' Corner ($1,375) 8’ x 20’ ($2,445) 8’ x 20’ One Corner ($2,545) 8’ x 20’ Two Corners ($2,645) 10’ x 10’ ($1,375) 10’ x 10’ Corner ($1,475) 10’ x 20’ ($2,650) 10’ x 20’ One Corner ($2,750) 10’ x 20’ Two Corners ($2,850) 10’ x 30’ ($3,920) 10’ x 30’ One Corner ($4,020) 10’ x 30’ Two Corners ($4,120)    Select Table No Table 4' 6' 8'

Carpet is provided with all booths. Check here if you DO NOT want carpet and are bringing in your own flooring (flooring is required for all booths).

(B) REQUEST BOOTH NUMBER(S)/LOCATION.
(Note: Use this space to enter a booth number(s) and/or list companies/products you do not wish to be adjacent to.)

2. LIST ALL PRODUCTS/SERVICES TO BE SHOWN IN BOOTH.*

NOTE: COMPLETE SECTIONS 3 AND 4 ONLY IF YOU ARE PURCHASING A SECOND BOOTH LOCATION.

3. SPECIFY BOOTH PREFERENCES FOR SECOND BOOTH LOCATION.
(A) SELECT BOOTH SIZE & TABLE.* (Note: One skirted table is included with each booth. All tables are 2' wide and 30" tall.)

Select Booth 8’ x 10’ ($1,275) 8’ x 10' Corner ($1,375) 8’ x 20’ ($2,445) 8’ x 20’ One Corner ($2,545) 8’ x 20’ Two Corners ($2,645) 10’ x 10’ ($1,375) 10’ x 10’ Corner ($1,475) 10’ x 20’ ($2,650) 10’ x 20’ One Corner ($2,750) 10’ x 20’ Two Corners ($2,850) 10’ x 30’ ($3,920) 10’ x 30’ One Corner ($4,020) 10’ x 30’ Two Corners ($4,120)    Select Table No Table 4' 6' 8'      

Carpet is provided with all booths. Check here if you DO NOT want carpet and are bringing in your own flooring (flooring is required for all booths).

(B) REQUEST SECOND BOOTH NUMBER(S)/LOCATION.
(Note: Use this space to enter a booth number(s) and/or list companies/products you do not wish to be adjacent to.)

4. LIST ALL PRODUCTS/SERVICES TO BE SHOWN IN SECOND BOOTH.*


5. COMPLETE CONTACT INFORMATION.

Exhibitor Web Address:

Booth Sign:*

Firm Name:*

Address:*

City:*

State/Province:* if "other" is selected:

(please select a state/province) British Columbia Alberta Saskatchewan Manitoba Ontario Quebec New Brunswick Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Mexico Other

Zip/Postal Code:*

Country:*

USA UK Albania Algeria American Samoa Andorra Angola Anguilla Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Barbuda Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Botswana Brazil British Virgin isl. Brunei Bulgaria Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Channel Islands Chile China Colombia Congo Cook Islands Costa Rica Croatia Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Irak Iran Ireland Ireland, Northern Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Latvia Lebanon Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar/Burma Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Rwanda Saba Saipan Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand Togo Trinidad-Tobago Tunisia Turkey Turkmenistan United Arab Emirates U.S. Virgin Islands U.S.A. Uganda United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wales Yemen Zaire Zambia Zimbabwe

Name:*

Title:*

Email:*

Phone:*

Emergency Phone:*

Fax:

Cell Phone:

Exhibitor Tax ID (State Tax ID Preferred) or Social Security No.:*
Note: Required by the City of St. Charles for obtaining Promoters Business License for show.

6. BY CHECKING THIS BOX AND SUBMITTING THIS APPLICATION, WE AGREE TO THE FOLLOWING: I have read, understand and will abide by all of the provisions of the Rules, Regulations and Instructions all of which shall be part of this contract. Full payment is due February 23, 2012. If full payment is not received before this date, space shall be forfeited and no exhibit may set-up. No refunds will be made for booth(s) cancelled after January 26, 2012. Prior to the refund deadline, a cancellation fee of 25% of your total booth cost will apply. Payment of at least 50% of booth cost MUST accompany this application (unless invoice option is selected below) & the balance must be paid by February 23, 2012. Checks payable to the Home Builders Association or HBA. Returned checks will be charged a $25.00 service fee.

Grand Total:

$

I will pay

50% 100%

of the grand total today.

Amount Due:		$
(includes 100 % of the booth cost)

Payment Options:		Invoice Me Credit Card Payment

If all required information is entered, please DO NOT hit the "Submit" button more than once.