Northeast IFT Food Industry Expo

May 20, 2009
DCU Center
Worcester, MA

Exhibitor Registration Form
*required fields

*Exhibiting Company:
*Registration Contact
*Registration Contact Email Address:
*Registration Contact Phone Number:
*Primary Show Attendee:
*Primary Show Attendee Email Address:
*Primary Show Attendee Phone Number:
*Address:
Address:
*City:
*State/Province:
*Zip/Postal Code:
Country:
*Website:
Type of Display: Please select the type of display you'll be using at the show. If this changes after registration, you must notify us by 5/13/2009 in order to be assigned a table in the appropriate section.	CONVENTIONAL: No display materials will block either our view or that of our neighbors. We understand that we will be standing BEHIND our table.
	BANNER STAND: We will be bringing a 'banner stand' type display that will sit on the FLOOR. The attendee and the banner stand will be directly BEHIND the table.
	OVERSIZED: A display that will block our view or that of our neighbors and will be put in a location where we can stand in FRONT of our table. We understand that unless we have pre-registered this type of display by 5/13/2009 we will NOT be able to use it
Add our name to the Door Prize Game Card!	Our rep will bring our donation to the show.
Add our name to the Door Prize Game Card and purchase a gift(s) on our behalf in the amount of:	$25 $50 $75 $100
SELECT ONE from this section	SINGLE TABLE: $375 TWO ADJOINING TABLES: $750
Split tables must be ordered in pairs; please use a separate form for each half.	SPLIT TABLE: $240
	TABLE SIGN: $25
	ELECTRICITY: $75
Extra Reception Tickets $25 ea.	1 extra $25 2 extra $50 3 extra $75 4 extra $100 5 extra $125 6 extra $150
Disclosure:	I am not the person attending but I have notified the appropriate person and they are aware fully aware of all rule and restrictions.
Names of Attending Representatives (for badges) Please list ONLY those whose attendance is confirmed; additional name badges can be made on site.
Category Selections for Directory Select a maximum of four categories. If your product or service isn't listed, use the 'new category' fields below.	Acidulants Analytical Instruments Anticaking Agents Anti-Microbials Anti-Oxidants Aspartame Baking Inclusions/Sprinkles Barriers/Glazes Batters/Breading Botanicals/Botanical Extracts Brokers/Ingredients Capsicums Caramel Color Caseinates Cereals (as ingredients) Cheese Cheese Powders Chemicals, Food Chocolate Coatings, Ice Cream Cocoa Coconut Co-enzyme Q10 Coffee Colors (artificial) Colors (natural) Contract Blending Cookies/Crackers Corn, Dried Milled Corn Sweeteners/Syrup Custom Blending Dairy Ingredients/Enzyme Modified Dairy Products Dextrose Edible Film & Glitter Egg Replacers Emulsifiers Encapsulated Ingredients Enzymes Equipment, laboratory Equipment, manufacturing Equipment, sanitation Fat Substitutes Fats/Oils Fiber, non-calorid Fiber, soluble Flavor Delivery Systems Flavor Enhancers Flavors, Savory Flavors, Sweet Flaxseed Flour Food Bases/Glazes Food Production Fragrances Fructose Fruit, canned Fruit, dried Fruit, fresh/frozen Fruit Juice Concentrates Fruit Seeds/Seed Oil Gelling Agents Grains/Beans/Seeds Herb Pastes & Purees Honey HVP Hydrolysates Ice Cream Inclusions/Sprinkles Incubator Kitchen Ingredient Distributors Ingredients for Flavors Inulin Kosher Ingredients Labeling Laboratory Services, anyalytical Laboratory Services, consumer testing Laboratory Services, microbiological Laboratory Services, nutritional labeling Laboratory Services, product development Lactic Acid Lactose, Edible Malt Manufacturing/Co-packing Masking/Bitter Blocking Meat/Poultry Products Mediterranean/Mexican Ingredients Medium Chain Triglycerides Minerals Molasses MSG Nutraceuticals Nutritional Supplements Nuts Oleoresins Oligofructose Omega 3 Fatty Acids Omega 6 Fatty Acids Organic Ingredients Packaging Pasta Pest Management Services Phosphates Prebiotics Probiotics Release Agents Rice Rosemary Extracts Seafood Extracts Seasoning Blends Seaweed/Algae Sensory Modifiers Soy Flour Soy Milk Soy Protein Soy Sauce Spices/Herb Stabilizers Stocks & Broths Sugar Replacements Sugars/Sweeteners Tea Texture Analyzers Thickeners/Starchers/Gums Vanilla Vegetables, canned Vegetables, dried Vegetables, fresh/frozen Vinegar Viscosity Measuring Equipment Vitamins/Enrichments Whey Protein Concentrates Whey Protein Isolates Wine Concentrates Yeast Extracts/Yeast
New Category 1:
New Category 2:
New Category 3:
New Category 4:
Part of a group? Want to be near a friend? List the company name here. (Both companies must request this..in case they're not as happy to see you as your may be to see them!)
Far Away? List the names of any companies that should be assigned tables as far away as possible!
Once submitted, you are responsible for payment of all requested services. (A partial refund may be available if cancelled.) NO REFUNDS WITHIN 30 DAYS OF THE SHOW!