Please PRINT clearly!
First Name_____________________
M.I____ Last_____________________________
E-mail address
___________________________________________________________________
______________________________________________________________________
MOBICON
RULES OF CONDUCT:
1.
Your
badge must be visible at all times. Badges must be worn above the waist and to
the front of your body. A replacement badge will cost $5.00 for the first then
full cost for admission after that.
2.
NO Drugs, nor any member under the influence of
illegal substances will be allowed on convention grounds-this includes underage
smokers and alcohol abuse by anyone regardless of age.
3.
There
will be no smoking except in designated hotel areas or outside.
4.
Along
with your badge, you must keep photo ID on your person at all times.
For any additional
information you may visit the website: www.mobicon.org
I agree to be completely responsible for
any and all damage I cause to hotel or convention property. I further understand that violation of
Convention rules will result in the loss of my convention badge and expulsion
from the convention events and areas. I also agree to give MOBICON permission
to use my picture(s)for use in promotional purposes. I understand that MOBICON
will, from time to time, exchange information with area conventions. If you opt
out to this please see any member of the registration staff for an opt-out
form.
Signature___________________________________Date__________________
DO NOT WRITE BELOW THIS LINE-STAFF USE
ONLY
Weekend PreReg before May1 ($35)________
Badge type: Member___ Staff___ Guest___ Comp___ Retailer___ Tables___ Extra
Badge___Other __________
Payment type: Cash__ Check__ Credit__ Check #_________ Credit Ref #__________ Amount Paid_____________
NOTES: Credit
Card Info:
Explain all Comps
Badge Picked Up?