ACTE

515 King Street,
Ste. 330
Alexandria, VA 22314
USA

Tel:1-703-683-5322
or 1-800-375-ACTE
Fax:1-703-683-2720

E-mail: [email protected]

 

Vendor Registration Form for
ACTE XII Technology Experience

Technology Vendors: You must complete both the Vendor Registration and the Conference Registration to avoid processing delays.

(All sections must be completed)
Product Name
Company Name
Please check the product category that you will be demonstrating at the Technology Experience
End-to-End Solutions
Automated RFP Solutions (Automated Expense Management System)
Conferencing System (End-to-End System)
Information Management System (Payment System)
Security Indentification Technology (SSR - Self Service Reservations)
Meeting Planning (Speech & Voice Recognition)
Traveler Assistance Applications and Services
Other
Operating System:
Unix
Windows NT
Windows 95/98
Mac
Other
Presentation Method:
Internet
Local only (no connectivity required)
Special Requirements (other than internet)
Registration
 $5,000 (USD)
(Note: Online submission accepts credit card payment only)
American Express
Eurocard/MasterCard
Diners
Visa
Card Number
Expiration
Technical Contact Information
Contact Name

Address

Address*

City

State/Province

Zip/Postal Code

Country

Telephone

Facsimile*

E-Mail