Dublin

Technology & Business Process Showcase Registration
    VENDOR CONTRACT (All fields are required unless marked with a "*".)
Contact Information
Name
Title
Company
Address
Address 2*
City
State/Province*
Zip/Postal Code
Country
Telephone
Facsimile*
E-Mail 
Fee: (in USD) Single Booth $7,500 Double Booth $10,000 Value Add - $2,500 (Additional)
Method of Payment
Credit Card: American Express Diners Club Eurocard/MasterCard Visa
Card Number *
Expiration Date *
Cardholder Name *
Check (Please enclose check with a printed copy of this contract)
Invoice (Payment must be received within 30 days of receipt of this form or sponsorship will be forfeited)
Product Name:
Company Name:
Please write information as you would like it to appear in all printed material *.
Please check the product category that you will be demonstrating at the Technology and Business Process Showcase. (Select One, Required)
Applications and Services
End-to-End Systems
Security Identification System
Automated Expense Management System
Information Management System
Speech & Voice Recognition
Automated RFP Solutions
Internet Booking Engine
SSR-Self Service Reservations
Automated Travel Management Tools
Meeting Planning
Traveler Assistance
Business Travel Management Solutions
Payment System
Travel Planning Solutions Provider
Conferencing System
Procurement Tool
Other
Operating System
UNIX (LINUX) Windows NT/2000/XT MAC Windows 95/98/ME Internet - Based
Presentation Method
Internet, Local Only (no connectivity required)

Special Requirements (other than internet) *

(Note: If you require a copy of this contract or wish to pay by check, please
print using your browser's print feature before submitting this form.)



You may call 1-800-375-ACTE or 1-262-763-1902 for questions or more information.
Mail your signed contract and payment to: ACTE, 111 S. Pine Street, Burlington, WI 53105 or
Fax to 1-262-763-7037. Upon receipt, ACTE will send you a written confirmation.

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