New Mexico Public Safety Telecommunicators Association

Representing the New Mexico Chapters of NENA and APCO

Online Vendor Registration Form

Use this Online form to register for the
SPRING 2003 APCO/NENA Training Conference
in Farmington, NM, April 9, 10 and 11, 2003.

Important Vendor Information

Conference and Exhibition Site

Vendor Schedule

Sponsorship

How Else You Can Help

Complete the form and click on “Submit” when ready to send.

Company Name:

Your Name:

Your Title/Position:

Mailing Address:

City:

  State:

  Zip Code +:

Phone Number:

  Phone Extension:

FAX Number:

Cell Phone Number:

Email address:

Web Site URL:

We are interested in Sponsorship

PLATINUM – $500+

Gold – $400 – $499

Silver – $300 – $399

Bronze – $200 – $299

Vendor space fees (10 foot booth space) for the Training Conference are $100.00 each.

Space fee includes one Banquet Ticket. One additional Banquet Ticket for each $100 of Sponsorship. Anyadditional Banquet Tickets can be purchased at the conference at $15.00 each.

Number of Spaces:    @ $100 each     =

Sponsorship Amount:

TOTAL AMOUNT: Tables and Sponsorship =

Payment by:

We will mail a Check

Check at the Conference

Purchase Order

Purchase Order Number:

You can also mail or FAX your information to:
NMPSTA
c/o Jerry Simpson
P.O. Box 29242
Santa Fe, NM 87592-9242
Or
FAX to: 505-428-3735 – ATTENTION: Jerry Simpson