Robotics Online - RIA - Robotic Industries Association
Events

20th Annual National Robot Safety Conference

Exhibitor Tabletop Reservation Form

Space is limited and will be assigned on a first-come, first served basis.

Questions? Contact Jim Adams at 734/994-6088.

Please fill out the information below. Fields marked with * are required.

Choose

Number of Tables Required
$650/table for RIA Members (If your company qualifies for a free tabletop, you will NOT be charged.**)
$850/table for non-members

10’ x 10’ exhibit booth available to Ultra Corporate Sponsors. Click Corporate Sponsorship Form for details.

Exhibits will be displayed on October 7th. Exhibitor Guide, with details, to be provided at a later date.

110 Volt Electricity Required
We will be bringing a "Pop-Up" display unit.
Will a separate table be needed for this display? Yes No
Exhibitor Listing Contact Information
This information will also be printed in the proceedings book which will be given to all attendees.
First Name: *
Last Name: *
Title: *
Company: *
Address: *
City: *
State/Province: *
Zip/Postal Code: *
Phone: *
Fax:
Email: *
Website:
Company/Product Description:

characters left
Billing Information
  Same as above
Name:
Title:
Phone:
Email:
Payment Information
**RIA Members may qualify for a FREE tabletop! Contact Sarah Le Couffe at 734-994-6088 to see if you qualify.
Please fill in your credit card details or select the "Bill Me Later" option to continue.
  Bill Me Later
Amount: $

Credit Card Type:
Credit Card Number: (do not enter dashes or spaces)
Credit Card CSC: (3 or 4 digit number on the back of your card)
Expires: / (mm/yyyy)
Name:
(as it appears on card)

Automated Imaging Association Motion Control Association