CHARPEX 2018

Exhibit Application Title: ____________________________________________________

Classification:

____

(see rules)

Short description: (25 words or less)

_______________________________________________________________ _______________________________________________________________

Exhibitor name:

_______________________________________________________________

Address:

_______________________________________________________________

City/State:

_____________________________________________ Zip:

Phone:

__________________

Email:

____________

_____________________________________

Because special awards may be offered, please indicate your membership to each of the following societies: APS

___

NCPHS

___

GPS

___

AAPE

___

AAMS

___

___ BNAPS ___ CSA ___ ESPER ___ PNC3 ___ UPSS ___ USPCS ___ USSS ___ 1st-time exhibitor ___ Other: ________________________________________________________________

AFDCS

Multi-frame, adult #_______ frames @ (no cost) Single-frame, adult @ (no cost) Any class, youth #_______ frames @ (no cost) Amount enclosed for return postage and insurance

$__________

Total:*

$__________

(* - make check payable to CHARPEX)

q

I or my agent will personally deliver my exhibit between 4:00 & 6:00pm on Friday, July 27th.

q

I or my agent will personally pick up my exhibit between 4:00 & 5:00pm on Sunday, July 29th. Agent name:

_____________________________________________

q

I will ship my exhibit via _____________________ to arrive on or before Thursday, July 26th.

q

Return my exhibit via _____________________ insured for $ _______.

Note: CHARPEX will take all reasonable security measures for the protection of your exhibit. However CHARPEX nor the committee can be held responsible for loss or damage of exhibits. I acknowledge that I have read the rules for CHARPEX 2018 as outlined in the accompanying prospectus and available at the show website – www.charpex.info. Signature: ___________________________________________________ Date: ___________ Please submit three (3) copies of your title page and synopsis with entry. Mail payment (if any) & application to: CHARPEX P.O. Box 30101 Charlotte, NC 28230-0101 Electronic applications may be submitted by email to [email protected]