Marine Aquarium Expo Regestration Form
Business Name
Business Description
Contact Person
First Last
E-Mail :
Telephone
FAX :
Cell Phone
Contact Email
Street Address
City, State, Zip
,
Website URL
Preferred Booth #
Salt Water Required?
Yes No * If Yes, #'s of Gallons request: Gallons
Ultilities Required?
Electricity ($20/day) Yes No WIFI ($15 Flat Fee) Yes No
California Sellers Permit Number
If Applicable.
How Did You Hear About US?
Word of Mouth Website Forrums Promotional Materials Other*
* If other, please type in description:
Comments or Suggestions?