AmiWest 2009 Booth Selection: Electrical Requirements (in wattage): Company/Organization: Contact Person: Exhibitor Request Application number of tables Phone line needed: (circle one) YES NO User Group -- Email Address: Address: City: Country: Home Page URL: Phone nnmber: State/Province: Zip/Postage: FAX number: Home Page Name: Your Description: We can add a brief description of your company or organazition, products, show specials and information to your link. Please specify if you wish different email and phone info to appear in the link. Your comments are always welcome of course. (Continue on back if necessary) Payment Information: Payment Enclosed Please mail this form and payment to: AmiWest 2009 7051 Dolan Way Citrus Heights, CA 95621 Make checks payable to "AmiWest". Bill us Amount