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Company Name

Primary Contact Name

Address

Phone

Contact Email

Web or Social Media Link

Number of Tables

Please select the combination of table(s) you are looking to reserve for your space.

1 Table ($80 prior to 9/1/2022)

2 Tables ($160 prior to 9/1/2022)

3 Tables ($210 prior to 9/1/2022)

6 Tables ($420 prior to 9/1/2022)

Badge 1 Name

2 badges for the first table, 1 badge for each additional table. Further badges will be $ 8.00 each.

Badge 2 Name

Badge 3 Name

Badge 4 Name

Badge 5 Name

Badge 6 Name

Badge 7 Name

Badge 8 Name

Advertising

Upload File

Upload your AD or LOGO here!

File size is limited to 10 MB each and is due NO LATER THAN October 1st, 2020. If you experience difficulty uploading through this method or need to submit later, please email registration@rock-con.com.

Need access to electrical outlets

Special Requests or Comments

Payment Preference

Paypal (will send invoice to the email on this form)

Visa or Mastercard (will call phone number listed on this form for processing information)

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