THE INSTRUMENTATION, SYSTEMS, AND AUTOMATION SOCIETY

Texas City Section

2011 33rd ANNUAL INSTRUMENTATION TRADE SHOW RESERVATION REQUEST

Subject to, and in agreement with, the Terms and Conditions of our March 24, 2011, Tabletop Show, please enter your reservation as follows:

EXHIBITOR:
Name of Firm: ____________________________________________
Address: ____________________________________________
____________________________________________
____________________________________________
Telephone: ____________________________________________
Signature: ____________________________________________
Print Name: ____________________________________________
E-mail Address ____________________________________________
Date ____________________________________________
Name of representatives who will be present: __________________________________________________________
__________________________________________________________
List type of items (or principals) you will exhibit: __________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

DISPLAY SPACE:

_________________ One (1) $275.00 (5 free BBQ tickets for early registration)
_________________ Two (2) $550.00 (10 free BBQ tickets for early registration)
_________________ Three (3) $800.00
_________________ Four (4) $1,050.00
_________________ Five (5) $1,250.00

DINNER TICKETS(Please note quantity needed)

_________________ $5.00 Each (_____ Check if you want tickets in advance of show date.)

Payment Type - ______ Check ______ Credit Card
Credit Card Type __________________________________
Credit Card Number ______________________________________
Expiration Date __________________________
Name on Card ________________________________________

Payment for display space must accompany request.  Space will not be reserved without payment.  Please make checks payable to Texas City ISA.  American Express, MasterCard, and Visa accepted.  A $10 fee will be added for all credit card transactions.

PLEASE REPLY TO:


Troy Tanner
Trade Show Chairman
213 6th St. N.
Texas City, TX 77590
409-945-4828