Online Exhibitor Registration

Exhibitor Application and Contract
Digital Imaging XV
Mashantucket, Connecticut, USA
16 – 18 July 2012

NOTE: a printable version (PDF) is here.

Please enter information (or "NA") in all fields. Type information exactly as it should appear on exhibit materials.

I have read ASNT’s Display Rules (required).

Company name
Address 1
Address 2
City
State
ZIP/Postal code
Country
Telephone
Fax
Web site
E-mail
Exhibit Information Contact
On-site Contact


Reservation Information

	Please reserve this number of tabletop exhibit spaces for my company at $1800 each.


Electrical Requirements

	Yes, I will require a 110v electrical outlet and I understand there is a charge. I must coordinate with the facility directly.
	No electrical outlet needed.

Location (Companies)

List any companies you do not want in close proximity:

ASNT will assign all spaces and reserves the right to determine final placement of the exhibitor. Space is subject to availability.

Registration of Individuals

You are entitled to full event registration for three individuals. Enter names and phones below.

Name (full)
Telephone

Name (full)
Telephone

Name (full)
Telephone