Company Name:
Contact Name - HEADOFFICE:
Contact Name - EXHIBIT CONTACT:
Address:
Address:
City:
Postal Code:

Contact E-mail Address:

Phone: HEADOFFICE:
Fax: HEADOFFICE:

Phone: EXHIBIT CONTACT:
Fax: EXHIBIT CONTACT:

Products Manufactured or Distributed and to be displayed:

Area Prefered: 1st Choice: Choose 1st Choice Exhibition A Exhibition B Exhibition C Ice Mezzanine Exhibition E

Area Prefered: 2nd Choice: Choose 2nd CHOICE Exhibition A Exhibition B Exhibition C Ice Mezzanine Exhibition E

Dimensions Requested: X sq.ft.= Net:  sq.ft.

Number of Electrical Outlets Required:

Please reply by October 31, 2010

I confirm that I have the required insurance to attend this show. Please forward your copy by mail, along with your 25% deposit to:

Atlantic Farm Mechanization Show Inc.,
P.O. Box 686,
Moncton, NB, Canada,
E1C 8M7

Please press SUBMIT only once. This form will be e-mailed to us, automatically.