Wisconsin Music Educators Association: Exhibitor Name Badge Request

	2009 Wisconsin State Music Conference Exhibitor Name Badge Request
	Name badges have been printed and packed. Requests made on-line can no longer be honored. Exhibitor name badges can be requested and printed on-site at exhibitor registration, just outside the main exhibit hall.

Please enter each name exactly as it will appear on their name badge. Fields indicated in bold type are required fields.

Name of Exhibitor:
Names of people staffing your exhibit:
(1)	Prefix (optional):	First:	Last:
(2)	Prefix (optional):	First:	Last:
(3)	Prefix (optional):	First:	Last:
(4)	Prefix (optional):	First:	Last:
(5)	Prefix (optional):	First:	Last:
(6)	Prefix (optional):	First:	Last:
(If you require more than six name badges, please complete this form in batches. Exhibitor Name Badges are issued only to individuals staffing your booth. Those attending sessions must register as attendees.)
The following information will not be published. It is for verification purposes only. You will receive a confirmation email at the address you list below:
Your Name:
Your Email:
Your Phone:

1005 Quinn Drive | Waunakee, WI 53597 | 608-850-3566 | 800-589-9762 | Fax: 608-850-3515