LOADING...
Please wait.
Trade Fair Exhibitor
Note: This form is for credit card registration.
For check/cash payment or assitance with registration, call Kerry Kanbara 909-906-2332.
Exhibitor Information
Attendee 1
First Name
Last Name
Email
Attendee 2
First Name
Last Name
Email
Note: Registration confirmation and Trade Fair updates will be sent to the email address listed above. If you need to register additional people form your company, please enter them on the attendee form.
SPE Education Fund (optional)
Since 1984, the George Epstein Scholarship Fund has helped student who are in the plastics industry. this is an optional doantion. The Southern California Society of Plastics Engineers thanks you for your consideration.
Sponsor(optional)
*Donate to the George Epstein Scholarship fund
Exhibit Space Selection
Tabletop include two chairs. Booth area includes table and chairs if needed.
limited 120v power is available. Indicate if needed.
Exhibit Size
Choose Exhibit Size
Table-Top Display Space. 2.5`x6ft` $375.00
Booth Display Area. 8`x10` $575.00
120v power required
Yes
No
Exhibitors can purchase additional attendees and pre-paid guest tickets at a discounted admission rate of $25.00 ea.
Guest Pass
Choose Qty
1 Guest pre paid tickets $25.00
2 Guest pre paid tickets $50.00
3 Guest pre paid tickets $75.00
4 Guest pre paid tickets $100.00
5 Guest pre paid tickets $125.00
6 Guest pre paid tickets $150.00
7 Guest pre paid tickets $175.00
8 Guest pre paid tickets $200.00
9 Guest pre paid tickets $225.00
10 Guest pre paid tickets $250.00
Total Billing To Credit Card
Grand Total:
Billing Information
Company:*
USE BILLING ADDRESS OF CREDIT CARD
Address Line-1:*
Address Line-2:
City:*
State:*
Select State
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code:*
Phone:*
Credit/Debit Card Information
First Name:*
Same name as on your card
Middle Initial:
Last Name:*
Same name as on your card
Card Number:*
No dashes or spaces please
Expiration Month:*
Month
January
February
March
April
May
June
July
August
September
October
November
December
From your card
Expiration Year:*
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
From your card
Card Brand:*
Choose a Card
American Express
Discover
Master Card
Visa
CVV2*
Card security code
CVV2 for MasterCard, Visa and Discover cards. Enter 3 digits number shown on the signature side of these cards.
CVV2 for American Express. Enter The 4 digit number shown above the 15 digit number on the front side of the card.
E-Mail Receipt:*
Note: Credit card receipt will be sent to the e-mail address listed above.
Substitutions: You can substitute registered attendees at any time.
Refunds: No refunds for cancellations made less than seven days prior to the event.
Privacy(member and non-member): The Society of Plastics Engineers, Southern California does not
retain credit card information. Address and email may be used to provide you with information on
future Southern California SPE events.
Create Your Own Form
using this Template
Want the ability to collect information with an
online form that looks like this one?
Powered by
Elbowspace.com