Outdoor Exhibit Demonstration

"*" indicates required fields

Company Name

Contact Person - OnSite

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone (xxx-xxx-xxxx)

Email*

Dimensions of Exhibit (HxWxL)

Weight of Exhibit (lbs)

Description of Exhibit

Upload a Picture of Exhibit

Max. file size: 450 MB.

Pricing*

IWC Exhibitor - $995

Non-Exhibitor - $1495

Total

Payment Type*

Credit Card

ACH Payment

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

ACH

Account Number Account Type Routing Number Account Holder Name

Engineers' Society of Western Pennsylvania