Michigan Restaurant Association

2006 Michigan Restaurant Show Exhibitor Badge Registration

Please fill out the following information. Be sure to list each exhibitor for your booth, including yourself, individually.

For information on Membership and joining the Michigan Restaurant Association click here

Fields with an asterisk (*) must be filled in to allow processing of your registration.

First Name *

Last Name *

Email *

Company Name *

Street Address *

City *

State *

Zip *

Daytime Phone Number *

Fax Number

How would you like to receive your Badges? *

Please include all Exhibitors, including yourself.
It is important that you type Exhibitor names as you would like to appear on the badge.

Exhibitor 1 First Name *

Exhibitor 1 Last Name *

Exhibitor 2 First Name

Exhibitor 2 Last Name

Exhibitor 3 First Name

Exhibitor 3 Last Name

Exhibitor 4 First Name

Exhibitor 4 Last Name

Exhibitor 5 First Name

Exhibitor 5 Last Name

Exhibitor 6 First Name

Exhibitor 6 Last Name

Exhibitor 7 First Name

Exhibitor 7 Last Name

Exhibitor 8 First Name

Exhibitor 8 Last Name

Exhibitor 9 First Name

Exhibitor 9 Last Name

Exhibitor 10 First Name

Exhibitor 10 Last Name