Document 0qRL5NDdrJ6oVzk7kB3aLy6Bn

APPLICATION FOR EXHIBIT SPACE 1984 AWWA Annual Conference and Exposition June 10-14, 1984 Dallas Convention Center, Dallas, Texas INSTRUCTIONS 1. Please READ this form carefully and print or type all information. 2. This application will not he processed unless it is signed and dated by your company's representative. 3. Space assignment date: April it), HWL At that time this form will be signed by AWWA and returned to you, confirming your booth assignment(s). PLEASE SIGN AND RETURN THIS FORM TO: Gary E. Arnold Meetings Manager American Water Works Assn, tiliiili W. Quincy Avenue Denver, CO H0235 (Make copy for your records) IuJ/V\nU1IQ0iIT> AvQ FIRM name ___ CAPCQ PIPE COMPANY, INC address 1400 South 20th Street city BirminQham, state ^1 ^ zip 35205 AWWA MEMBER*cWeS (Membership # 22131) NO phone no 1 --300~633 -- 3420 (A/C) (No.) Name of person to he in charge of exhibit, and to whom instructions should he sent (include address if different from above): William R. Perrell BOOTH LOCATION Number of Booth(s) _______2 . Preferred Booth Locations 51 5-51 7 1st CHOICE 828-830 81 6-818 2nd CHOICE 3rd CHOICE Companies from whom we desire booth separation (Specify company names rather than product). Booth separation is not guaranteed. Certainteed Pipe Company J. M. Pipe Company Should booth separation supersede location requested? C Yes (2 Ni BOOTH DISPLAY We will display the following items in our booth: A/C PIPE AND PVC PIPE Special requiremenls(i.e., gas. electric, etc.)/List any dangerous items (i.e.. chemicals, gases, motor vehicles, etc.) that will be a part o_f v_o_u_r _d_is_p_lav. E_ ..lec, tri.c _Ou, .tlet and , 20 f_eet, _Red , _Carpet Our company name should appear in both the program and booth sign exactly as follows: __________ CAPCQ PIPE COMPANY, TNT._____________________ AGREEMENT W'e hereby agree to: 2. Abide by all the Rules and Regulations 1. Attach hereto our c payable to American stipulated on the back of this contract. Water Works Assn 5% of the boolh(s) fee 3. Fay the balance of the space cost prior to .... as a down payment ich will be applied/to our payment date. May 10. HKS-I. total space rental ci Applications received on or after May 10 mjJst be accompanied with full payment./ / ' yyV 'AWWA ORGANIZATION MEMBER-SI,000. per 1(T * 10'space NONMEMBER - $1>^5. per 10' *. 10'space 'Individual AWWA membership does r rate. Your organization must he the NAME TITLE DATE FOR EXHIBITOR: William R, Perrel1 Booth(.s) Assigned Vice President - Sales March ..26.,.. 1984__ NAME TITLE DATE d,LuJr ^5 iAft n n -nn.-t jt g <r K CAPCO JEN 0020846