Ditchmen • NUCA of Florida Ditchmen - June 2020 | Page 47

NUCA OF SOUTHWEST Florida 2020 TRADE SHOW Booth Information You may join NUCA SWFL at time of registration and receive the 2020 Member booth rate. Company Name: _____________________________________________________________________________________ [ ]Booth NUCA SWFL Member $550 per booth Number of Booths:_____ Amount_______ Member Only - Extra Booth $250 [ ]Booth Non-Member $750 per booth Number of Booths:_____ Amount_______ *****Name of NUCA SW FL Member Sponsor:__________________________________________________________________ Booth #’s – top (3) choices: 1 st Choice __________ 2 nd Choice _________ 3 rd Choice _________ Names of all persons working the booth: __________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ Additional Persons at Booth_____ How Many:______ Amount__________ *Booth charge includes 2 exhibitors per booth, any extra cost is $25.00 per person [ ] OTHER CHARGES _______________________________________________________________________ BOOTH HOLDERS CAN ALSO BE SPONSORS! ****************************************************************************************** Sponsorship Information Check Box [ ] GOLD includes 3 free tickets to show $350 [ ] SILVER includes 2 free tickets to show $300 [ ] BRONZE includes 1 free ticket to show $250 ********************************************************************************************* Type of Credit Card: Please print clearly –All info is required _________Visa _________MasterCard _________American Express Credit Card Number: ______________________________________________________________________________ Expiration Date: ____________________V-Code:______________(V-Code is the last three digits in the signature strip on the back of the credit card for Visa/MasterCard, or the digits on front of card for American Express). Name on Card: _________________________________________________________________________________________ Company Name :_________________________________________Print Name:_____________________________________ ___________________________ _______________________________________ $_________________________ Phone # Email Address Total Amount to be charged A receipt will be emailed to you when charges are made on your account. For security purposes, your credit card information will not be kept on file. New information will be needed for each new charge. Please forward completed form to: [email protected] or fax to 239/790-1369 JUNE 2020 • DITCHMEN 45 Thank you for participating in the 2020 NUCA Southwest Florida Trade Show!!