Hardscape North America Show Guide Show Guide 2017 – The One Place - Page 30

HNA REGISTRATION REGISTER ONLINE AT WWW.HARDSCAPENA.COM Photocopy this form for additional registrations. 1 ATTENDEE INFORMATION (one form required per attendee) Name: Title: Company: Address: City: Phone:( State/Province: ) Fax:( Postal Code: ) Country if outside the U.S.: E-Mail Address (Required): Your purchasing role: ¡ Final decision maker ¡ Recommend or specify products or vendors ¡ No role Your primary job: ¡ Crew Member ¡ Design Specialist ¡ Manager/Supervisor/Crew Leader ¡ Student ¡ Owner/CEO/President/VP ¡ Sales/Marketing ¡ Other – Please Specify: I heard about HNA through: ¡ Repeat attendee ¡ Distributor/manufacturer ¡ HNA brochure ¡ HNA email ¡ HNA Exhibitor ¡ Magazine ad or insert ¡ HNA Website ¡ Word of mouth ¡ Other – Please Specify: My Company is a Member of: ¡ ICPI ¡ NCMA ¡ BIA 2 BUSINESS CLASSIFICATION ¡ Hardscape Contractor ¡ General Contractor ¡ Design Firm ¡ Student ¡ Government/University ¡ Landscape Contractor ¡ Dealer/Distributor ¡ Non-Exhibiting Manufacturer/Licensor Firm* ¡ Supplier/Associate/Consultant* ¡ Other *Through Sept. 7: $350, Sept. 8-Oct. 16: $400, onsite: $450. 3 TRADE SHOW ADMISSION TRADE SHOW PASS: or – Non-exhibiting, non-member* Through 9/7/17 $15 ea. Through 10/16/17 $30 ea. Manufacturers/Suppliers/Ad Agencies/ Media Sales: Through 9/7/17 $350 After 10/16/17 $60 ea. Through 10/16/17 $400 ea. After 10/16/17 $450 ea. *ICPI/NCMA/BIA CREDIT CARD INFORMATION ¡ Check enclosed (Payable to: Hardscape North America) ¡ Credit Card Payment (circle): VISA MasterCard AMEX Name on Card Card No. Exp. Date CVV Security Code Billing address (if different from above) Authorized Signature 30 $