Step 1 - Exhibitor Information

Company Name:
Your Name & Position:
You must represent an auto recycling or scrap recycling business to register as an Attendee. All other businesses (equipment vendors, core buyers, insurance companies, etc.) must register as an Exhibitor.
Your Email Address:
Confirm Email Address:
Mailing Address:
Town or City:
State/Province/Country:
Postal/Zip Code:
Work Phone:
Cell Phone:
Fax Number:
Website Address (if any):
Previously Exhibited at IT?	Yes No
Number of Staff Attending:	Select Number 1 2 3 4 5 6 7 8 9 10
Attending Staff Names & Positions:
Exhibition Booth/Stand Description:
Number of Tables Requested:	Select Number 1 2 3 4 5
Number of Chairs Requested:	Select Number 1 2 3 4 5
Oudoor Display Required?	Yes No
Equipment You Are Bringing:
Electricity Type Required	Select One 110 Volt 240 Volt Special Electrical Facilities None Needed
Will You Require Internet Access?	Yes No
Payment Method:	Select One Credit Card PayPal Check
PayPal Account Identifier: (if using PayPal)
Name on Credit Card:
Credit Card Number:
Expiration Date (mm/yy):
Security Code:
Billing Address :
Amount to Charge:
Additional Comments or Notes:

 

Please print this page before submitting for your records.