BADGE REGISTRATION
REGISTRATIOtl FORM
FORM
BADGE
AMERICAN COIN MACHINE EXPOSITION
Photocopy this
this form
form to
to register
register additional
additional personnel
personnel
Photocopy
SAVE $5.00
$5.00 REGISTER
REGISTER TODAY!
TODAY!
SAVE
Complete and return the coupon below w ith your check for $10.00 per person (U.S. FUN D S), made payable to:
Complete
and return the coupon below with your check for $10.00 per person (U.S. FUNDS), made payable to:
AMERICAN COIN MACHINE EXPOSITION, 16066 South Park Avenue, South Holland, IL 60473 USA.
AMERICAN
COIN MACHINE EXPOSITION, 16066 South Park Avenue, South Holland, IL 60473 USA.
MUST BE
BE RECEIVED
RECEIVED BY
BY FEBRUARY
FEBRUARY 20,
20, 1987
1987
MUST
Name
Only 21
21 characters
characters
Only
including spaces
spaces
including
w ill appear
appear on
on
will
Title _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Title
Firm'--------------------------------~
Firm
your badge.
badge.
your
Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address
City - - - - - - -- -- - - - - - - - - - State
State _ _ _ _ _ _ _ _ _ Zip
Zip _ _ _ _ _ _ _ _ _
City
Country _ _ _ __ _ _ __ _ _ Telephone _ _ _ _ _ _ __ __ _ Telex
Telex -
Telephone
Country
-
-
- - - - - --
-
Enclosed is my check in the amount of $
Enclosed is my check in the amount of $ _ _ _ _ _ _ _ _
Check below
below your
your business
business
Check
classification:
classification:
1 D Exhibitor
Exhibitor
1
2 D Manufacturer
Manufacturer
2
Distributor/Management
3 3 D Distributor/Management
Distributor/Sales
4 4 D Distributor/Sales
5 D Arcade
Arcade Operator
Operator
5
6 D Route
Route Owner/Operator
Owner/Operator
6
7 D Technician
Technician
7
Press
8 D Trade
Trade Press
8
9 D Other
Other _ __ __ _ _ _
9
(specify)
(specify)
FOR OFFICE
OFFICE USE
USE ONLY
ONLY
FOR
Please mail
mai l my
my personalized
personalized badge
badge of
of admission.
admi ssion.
Please
NOTE: $5.00
$5.00 FEE
FEE TO
TO REPLACE
REPLACE LOST
LOST BADGES.
BADGES. NO
NO EXCEPTIONS.
EXCEPTIONS.
NOTE:
DM
DM
SPOUSE PROGRAM
PROGRAM REGISTRATION
REGISTRATIOtl FORM
FORM
SPOUSE
.... ~---
.-......-·
~-
AMERICAN COIN
COIN MACHINE
MACHINE EXPOSITION
EXPOSITION
AMERICAN
Photocopy this
this form
form to
to register
register additional
additional personnel
personnel
Photocopy
Complete and
and return
return the
the coupon
coupon below
below with
with your
your check
check made
made payable
payable to:
to:
Complete
AMERICAN COIN
COIN MACHINE
MACHINE EXPOSITION,
EXPOSITION, 16066
16066 South
South Park
Park Avenue,
Avenue, South
South Holland,
Holland, IL IL 60473
60473 USA.
USA.
AMERICAN
MUST
BE
RECEIVED
BY
FEBRUARY
20,
1987
MUST BE RECEIVED BY FEBRUARY 20, 1987
Day of
of Event
Event
Day
Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ __ _ _ _ _ _ _ __ _ _ _ _
Name
Address--------------------------------~
Address
City _ _ __ _ _ _ _ _ _ _ _ _ __
City
State _ _ _ _ _ _ __ Zip _ _ _ _ _ _ _ _
State
No. of
of
No.
Tickets
Tickets
Total
Total
Cost
Cost
Price
Price
Friday 3/20
3/20
Friday
$30.00
$30.00
$
$
Saturday 3/21
3/21
Saturday
$35.00
$35.00
$
$
Sunday 3/22
3/22
Sunday
$35 ,00
$35.00
$
$
Zip
TOTAL COST
COST
TOTAL
Country _ _ _ _ _ __ _ _ _ _ __ __ Telephone _ __ _ _ _ _ _ _ _ _ _ _ _
Telephone
Country
Refer to
to the
the _ _ _ _ descriptions
descriptions contained
contained within
w ithin this
this brochure.
brochure.
Refer
FOR OFFICE
OFFICE USE
USE ONLY
ONLY
FOR
Enclosed is my check in the amount of$ _ __ _ _ _ _ _ to
to attend
attend _ _ _ _ events.
events .
Enclosed
is my check in the amount of $
~-..-.-.
~----
....
HOTEL RESERVATION
RESERVATIOtl FORM
HOTEL
FORM
AMERICAN COIN
COIN MACHINE
MACHINE EXPOSITION
EXPOSITION
AMERICAN
Please type
type or
or print.
print. Complete
Complete and
and return
return to
to AMERICAN
AM ERICAN COIN
COI N MACHINE
MACHINE EXPOSITION,
EXPOSITION, 16066
16066 South
South Park
Park Avenue,
Avenue, South
South Holland,
Holland,. IL
IL 60473
60473 USA.
USA.
Please
1. Please
Please do
do not
not complete
complete this
this form
form if if you
you have
have already
already requested
requested hotel
hotel accommodations.
accommodations.
1.
2. If If the
the hotels
hotels you
you have
have selected
selected are
are not
not available,
available, the
the Housing
Housing Bureau
Bureau will
w i ll assign
assign you
you to
to the
the next
next best
best available
avai lable hotel.
hotel.
2.
3. Reservations
Reservations will
w ill be
be held
held only
only until
until 6:00
6:00 pm
pm unless
unless guaranteed
guaranteed by
by your
your company.
company.
3.
4. Should
Should you
you fail
fai l to
to notify
notify the
the hotel
hotel of
of a a change
change in
in your
your arrival
arrival date,
date, your
your reservations
reservations will
wi ll be
be cancelled.
cancelled.
4.
NOTE THAT
THAT THE
THE ACME
ACME HOUSING
HOUSING BUREAU
BUREAU WILL
WILL NOT
NOT ACCEPT
ACCEPT PHONE
PHON E RESERVATIONS.
RESERVATIONS.
PLEASE NOTE
PLEASE
TYPE
TYPE
ROOM *
ROOM*
OCCUPANTS
OCCUPANTS
ARRIVAL
ARRIVAL
DEPARTURE
DEPARTURE
DATE
DATE
DATE
DATE
PREFERENCE
HOTEL PREFERENCE
HOTEL
l ST CHOICE
CHOICE
1ST
MUST BE
BE RECEIVED
RECEIVED BY
BY FEBRUARY
FEBRUARY 16,
16, 1987
1987
MUST
2ND CHOICE
CHO ICE
2ND
Name _ _ _ _ _ __ _ __ _ _ _ __ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ *ROOM CODE:
Name
*ROOM CODE:
Single bedded
bedded room.
room.
S S = - Single
Title
Title - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - D
Double, one
one double
double bed.
bed .
= Double,
D
DD = - Double/Double,
Double/ Double,
DD
Firm____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2 dc>:Jble beds.
Firm
2 double beds.
Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address
City
State _ __ __ _ _ _ _ _ Zip
Zip - - - - - - -- - -
Cit
y - - -- - - - - - - - - - - - -- - - -- State
Country _ __ _ _ _ _ _ _ _ __
Country
Telephone _ _ _ _ _ _ _ _ __ _ _ Telex
Telex - - - - - - - - - - --
Telephone
3RD CHOICE
CHOICE
3RD
FOR OFFICE
OFFICE USE
USE ONLY
ONLY
FOR