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New Mexico AER Vendor Registration
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Company Name
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Contact Name
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Street Address
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Street Address Line 2
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City
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State
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Zip Code
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Phone Number
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Email Address
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Registration Options - Regular registration fee includes one table and one event registration - Late registration begins January 7, 2019 (check all that apply)
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Vendor Registration - $250.00 (late registration - $300.00)
Additional Table - $100.00
Additional Event Registration - $100.00 (late registration - $150.00)
Required
Total Amount Due
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NM AER accepts checks and purchase orders made payable to: NMAER
PO must be received BEFORE conference date
NO REFUNDS AFTER January 11, 2019
Description of product/service being displayed
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Please list any additional accommodations needed
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