Vendor Registration Form

Is this your first time as a vendor at a Capitol Trade Show?:*

YesNo

Primary Contact First Name:

Primary Contact Last Name:

Display Name:

Email Address:*

Company Name:*

Street:

City:

State:*

ZIP:

Telephone:

Work phone:

Web Site:

Does Capitol Distributing actively purchase products from your company?:*

YesNo

Attendees:

Attendee: 1. Primary contact (check here if primary contact will NOT be in attendance):

Attendee: 2.:

Attendee: 3.:

Attendee: 4.:

Items/offers to be Presented:

New Items, show rebates, discounts, incentives, other specials.:

Samples, product demonstrations, (please place orders for samples by March 8, 2013):

Retail contracts/programs (please forward copy to):

Capitol Distributing
3500 E Commercial Ct
Meridian, ID 83642
Attn: Jessica Summers
Fax: (208) 888-5989
Email: jessica.summers@capitoldist.com

Sponsorships/advertising:

Top Vendor Marketing Program Participation (PrePaid):

Door prize purchased by Capitol on your behalf:

Dinner/Buffet sponsorship $1000:

One page color ad in Trade Show Directory $500:

Booth/display reservation:

# of Standard Booths Required (10' x 10') $1500 each:*

# of Additional 8' Tables with Linen required? $30/ea:

# of Additional Folding Chairs required? $10/ea:

Table Display $300 (no representative at table):*

YesNo

Special Requests:

# of 1000 Watt or 10 Amp Circuits $10/ea:

# of 2000 Watt or 20 Amp Circuits $20/ea:

# of 3000 Watt or 30 Amp Circuits $25/ea:

Other (please describe):

Dinner Reservation:

Appreciation Dinner:

Dinner will be held
Thursday March 28, 2013 at the Boise Centre

Number of Attendees:

Comments:

Username:*

Password:*

Confirm Password:

Click to view Terms and Conditions

Have you read and do you agree with the Terms and Conditions?:

YesNo

Note for First time registrants:

After you click on the Register

link below, you can go to the

Create Manufacturers Menu Item by

Clicking Here

IMPORTANT: Please download and fill out the following document and return according to the instructions on the documents.

Vendor Details