IHA Exhibitor Registration

Marriott Hotel,
West Des Moines, IA 50266

Exhibitor Day is September 25th.

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Conference

Company Name

Contact Name*

First Last

Your Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Fax

Your Email Address*

Email Address Confirm Email Address

Name to be printed on sign

(Please type or print clearly)

Number of booths (electricity, if needed, is a separate charge)

Price: $390.00

Each table is eight-foot draped, and includes chairs, table, and a sign.

Catalog Display Space (if you cannot attend)

Price: $195.00

We cannot attend the convention but wish catalog display space(s) at $195 per display which includes one-half table space.

Yes, we will need electricity at our booth. (Extra $20 charge)

Price: $20.00

Yes, include me for lunch. (Extra $20 charge)

Price: $20.00

We will provide silent auction items, describe below.

Name of first person

Name of second person

Credit Card

Cardholder Name

Card Details

Total

Fill out this form as soon as possible. Space is limited, and booths will be assigned on a first-come, first-servce basis.