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Middle Tennessee EMS Director's Association 2014

Conference (May 8—9, 2014)

Vendor Registration

Please come and network with middle Tennessee's EMS providers and their staff at the annual MTEC Conference. This year’s exhibit halls open for set-up on the Morning of the 8th at 7am, for participants the Vendor break is that morning at 10:15am and close after noon on the 9th.

Cost for this event is $150 per vendor for the duration of the show. Space is defined as one 8 foot table and 2 chairs Those needing more space please contact Jimmie Edwards at 931-920-1800 for details and costs. Also please note on the form if you need power for your space as this is limited and assigned on a first-come first-serve basis.

Outside vendors please note approximate space needed and if your display needs power.

 

 

Rep. Name:___________________________

Company:___________________________________________

Address: __________________________

City_________ State_____ Zip_______

Phone (____) _____-_______

Email_______________________________________

I need # _____ of Spaces

I need electric power Y____ N_____

I have and outside display and need a space of _____ft by ______ft

Total Payment Amount $______.00

_____ I am submitting payment with my vendor application

_____ I will present payment upon arrival to the conference

Signed ______________________ Print Name_____________________

 
    Please Print this registration form and send it and the registration fee to: MTEMSDA, 317 Oak Circle, Unionville, TN  37180