World Ag Expo Store

Contact Information First Name: Last Name: Company Name: Address: City: State: Zip: Country: Phone: X(XXX)XXX-XXXX Fax: X(XXX)XXX-XXXX Email Address: Confirm Email Address: Media Registration Code:

Days Attending:

Media Day Tuesday Wednesday Thursday

Exhibitor Contact Information First Name: Last Name: Company Name: Address: City: State: Zip: Country: Phone: X(XXX)XXX-XXXX Fax: X(XXX)XXX-XXXX Email Address: Confirm Email Address: Space Contact Person: Space Number:

International Groups

If you are traveling to World Ag Expo in a large group and arriving in a tour bus, you must enter at gate 2. To request a International Visitor Plaquered for you bus please complete the information below.
Note: All busses that do not have a plaquered will be redirected to gate 12 on the opposite side of the grounds.

I am traveling with a Group

Yes No

Country of Origin Number in Party Name of Travel Agent Email of Travel Agent Arrival Date (mm/dd/yyyy) Days attending World Ag Expo

Tuesday Wednesday Thursday

Departure Date (mm/dd/yyyy)

Demographic Infomation

Primary Operation:	Media Type:	Total Animal Units: Total Acres Farmed:

Product Interest: (check all that apply)

I authorize Would Ag Expo to share my information with exhibitors who request it. Yes No

Additional Guest Registration

	First Name:	Last Name:	Days Attending:

Bark

World Ag Expo Exhibit Space Rental Bark

Decorative bark is available for rent while exhibiting at World Ag Expo. It is not mandatory for exhibitors to use bark to cover the ground in their spaces, but recommended. Expo management has made two shades of bark available for use for the expo. Please use the table below to determine how much bark you will need to cover your space. At the conclusion of the expo, the bark remains the property of World Ag Expo and will not be allowed to leave the grounds.

ATTENTION! Under new State Fire Code, NO BARK shall be located within any tent, canopy or membrane structure where more than 50 people may congregate.

NO BARK will be sold for use inside Pavilion A, B, C, D Farm Home Arts or Farm Credit Dairy Center.

Quantity: - Red Bark (Cubic Yards) ($35.00)
Quantity: - White Wood Chips (Cubic Yards) ($35.00)

Will you have bark under a Tent or Canopy?:

Yes No

Approximate Tent Size: [FT x FT] Space Size: Fill Space With: Skip Bark Layout:

Yes No

Notes:

Confirm

Payment Billing First Name: Billing Last Name: Billing Zip Code: Card Type: Card Number:
Expiration Date: (mm/yyyy)
Grand Total: