CONUCOPIA DEALERS ROOM REGISTRATION FORM The Conucopia Dealers Room will be in the main area of the Convention. Details are still being finalized with the hotel, but it is believed that all tables/spaces will be 8' in width. The cost per table is $125.00, and at this time there will be a general maximum of 2 tables per dealer. [We will consider special requests for additional spaces due to unusual circumstances - please contact us first.] Please enclose payment with your request. All dealers must have a CA Resale License, which can be obtained at no cost. Please call 1-800-400-7115 or check their website www.boe.ca.gov to obtain the necessary forms from the State. We can confirm table reservations subject to providing the License No. prior to the Convention. Please note that all workers attending the convention must have a membership, which is NOT included in the table fee. We will limit the Dealers Room to approximately 100 tables in order to provide a reasonable anticipated dealer-to-attendee ratio. All requests will be processed on a first come/first served basis. There will be a wait list for additional table requests and dealers who submit requests after the Dealers Room is sold out. All correspondence should be sent to CONUCOPIA, P.O. Box No. 8442, Van Nuys CA 91409. --Sandy Cohen, Dealers Room Coordinator (E-mail: scohen@99.nasfic.org) ___ ______ ______ ______ ______ ______ _______ ______ _____ ___ MEMBER'S NAME ____________________________________ MEMBER NO. _________ BUSINESS NAME _________________________________________________________ ADDRESS _______________________________________________________________ _______________________________________________________________________ PHONE NO. ( )_________________ FAX NO. ( )___________________ CA RESALE LICENSE NO.. ________________________________________________ E-MAIL ADDRESS (OPTIONAL) _____________________________________________ NUMBER OF TABLES/SPACES (2 MAX.) @ $125/TABLE/SPACE ___________________ TYPE(S) OF MERCHANDISE ________________________________________________ SPECIAL REQUESTS ______________________________________________________ _______________________________________________________________________ 980730