Vendor Registration Form

Home
Retailers
Vendors
Events
- Event Calendar
- Trade Show
Careers
About Us
Contact Us

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 April 6, 2012):

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:

Door prize provided by vendor:

Dinner/Buffet sponsorship $1000:

One page color ad in Trade Show Directory $500:

Booth/display reservation:

Standard Booth (10' x 10') $1200:

Addtional booth space required?:

Table Display $300 (no representative at table):

Special Requests:

Power for display/booth :

Other (please describe):

Dinner Reservation:

Appreciation Dinner:

Dinner will be held
Thursday April 19, 2012 at the Riverside Hotel

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 2 documents and return according to the instructions on the documents.

Registration Addendum

Vendor Details

Register