DunDraCon Dealer Room Request Form

Company Name:

Resale Number:   Temporary Seller's Permit

Contact Name: (Required)
E-mail: (Required)

Postal Address:

Street:
City: State: Zip Code:

Phone:

Type of Merchandise:

Company Website:

If you wish you may send a company logo or banner to use on our website and in the convention book to our Webmaster

Number of tables:

Preferred table(s):
Dealer's Room Map

A/V needs (Electricity, Phone Lines, Wired/Wireless Internet, etc. Additional expenses may be charged):

Special Requests:

Billing Preferences Bill me by Paypal. My Paypal account is:
      
  Bill me by mail. My mailing address is: