11 REGISTRATION FORM  Please print/type clearly. Company Name: ________________________________________________________________________ Name to appear on Signage: ______________________________________________________________ (if different than company name) Mailing Address: ________________________________________________________________________ ___________________________________________________________________________________________ City State Zip Contact Name: _____________________________ Contact Phone: _______________________ Contact Fax: _____________________________ Contact Email: ______________________________ On‐site Representa ve Name: _________________________________ Please reserve the following exhibit space(s): ________ 8’ x 10’ @ $600 ________ 8’ x 20’ @ $1000 ________ 16’ x 30’ @ $1400 Larger sizes may be available—contact WREMS for more informa on ASAP. Carpe ng at $60 per 80 square feet: _________ Sub‐Total Exhibit Fees: $__________ Please provide a brief descrip on of the products/services you will be exhibi ng. This informa on will appear free of charge on the conference website, www.emsupdate.com ________________________________________________________________________________________________ ________________________________________________________________________________________________ We provide two 6 foot tables for each exhibitor. If you need addi onal tables, please order them in advance (tables are free prior to show date; at show, each addi onal table is $15). Each exhibit space receives two chairs. Total number of tables needed is: _______________ Exhibitors will receive exhibitor passes, which will permit access to exhibit hall and entrance to the all‐you‐can‐eat buffet lunches on Friday and Saturday. Exhibitor passes do not include admission to educa on sessions. Exhibitors will be contacted on an individual basis to discuss the number of exhibitor passes you will be provided. Passes are based on the size of your booth and sponsorship ac vi es at EMS Update 2018. Addi onal exhibitor passes can be pur‐ chased at the conference. CONTINUED ON NEXT PAGE