February 26, 2015 Vendor Table form

                                                     P.O. BOX 660, Deer Park, NY 11729

                                                                            631 424-0119 phone

                                                                                   www.lialarm.org

                 General Meeting – Annual Round Table

                                Thursday, February 26th, 2015

                                                 Vendor Exhibits/Dinner 6:30-10:00 pm

                                                                          Set up 5:30pm

 UPSKY Long Island Hotel 

 Formerly Sheraton LI

 110 Motor Parkway Hauppauge, NY 11788

  Please let me know if you can donate any item(s) to be raffled off.  They can be mailed to the above address or call the above # for arrangements to be picked up.

 Cost:  $250.00   Non-member price

    $200.00   Member price

 Vendor/Manufacturer Name:_______________________________

 ATTENDEE Name:              _______________________________

 Contact telephone #:            _______________________________

 Payment Type:   ____check                       ____Credit card   (Please check one)

 ____ Mastercard                  ____Visa          ____American Express

 Card #:  __________________________  Zip code____________ 

                                                                     (affiliated with card)

  Exp ___ ___ / ___ ___                            Code: ___ ___ ___ ___ 

 Do you require Electric at your table?

  YES______                NO_______          

 

Text Box:      

            

            P.O. BOX 660, Deer Park, NY 11729

                         631 424-0119 phone

                            www.lialarm.org

 

 

 

General Meeting – Annual Round Table

Thursday, February 26th, 2015

Vendor Exhibits/Dinner 6:30-10:00 pm

Set up 5:30pm

 

UPSKY Long Island Hotel 

Formerly Sheraton LI

110 Motor Parkway Hauppauge, NY 11788

 

Please let me know if you can donate any item(s) to be raffled off.  They can be mailed to the above address or call the above # for arrangements to be picked up.

 

Cost:  $250.00   Non-member price

   $200.00   Member price

 

Vendor/Manufacturer Name:_______________________________

 

ATTENDEE Name:              _______________________________

 

Contact telephone #:            _______________________________

 

Payment Type:   ____check                       ____Credit card

(Please check one)

____ Mastercard                  ____Visa          ____American Express

 

 

Card #:  __________________________  Zip code____________ 

                                                                    (affiliated with card)

 

Exp ___ ___ / ___ ___                            Code: ___ ___ ___ ___ 

 

Do you require Electric at your table?

 YES______                NO_______