International Independent Showmen's Association (Gibsonton, FL)

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Trade Show Registration

Trade Show Attendee Registration

2011/12 IISA Card Number:

REGISTRATION FORM CANNOT BE PROCESSED IF FIELDS BELOW ARE BLANK

First Name:

Last Name:

Title:

Company:

Address:

City:

State:

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Fax:

Email:

AFFILIATION	MEMBER TYPES & FEES
Carnival (Owner/Mgr.) Independent Ride (Owner/Mgr) Amusement Park (Owner/Mgr.) Water Park (Owner/Mgr.) Supplier (Owner/Mgr.) Circus (Owner/Mgr.) Game Concessions (Owner/Mgr.) Food Concessions (Owner/Mgr.) Straight Sales (Owner/Mgr.) Arcade (Owner/Mgr.) State Official Fair Management State Ride Inspector Retired Other	IISA ($0.00) IAAPA ($25.00) Miami Showmen's ($25.00) OABA ($25.00) SLA ($25.00) GTSA ($25.00) Other Organization ($25.00) Non Member ($50.00)

If your spouse is planning on attending, please complete this form and submit another for your spouse.

FILL IN ONLY IF THE FOLLOWING ARE ATTENDING

Children under 17 years: Child #1:

First Name:

Last Name:

Age:

Child #2:

First Name:

Last Name:

Age:

Child #3:

First Name:

Last Name:

Age:

Child #4:

First Name:

Last Name:

Age:

Child #5:

First Name:

Last Name:

Age:

PAYMENT - REQUIRED

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Beau Pugh

Check out what President Beau Pugh has planned for his 2011 Presidency!

International Independent Showmen's Association

IISA

6915 Riverview Drive
Riverview, FL 33578

Ph: 813.677.3590
Fx: 813. 677.1041

1/27/2012
IISA Announces Free Admission Thursday

On Thursday, February 9, 2012, members of the OABA, NICA, and all others Showmen's Associations will...Read more

1/25/2012
Sit in on One of Our Educational Seminars and Workshops at this Years Trade Show

2012 Trade Show Educational Seminars and Workshops

Var...Read more

2/25/2011
The IISA welcomes Beau Pugh as 2011 President

The IISA welcomes Beau Pugh as 2011-2012 club president! The theme for Beau's presidency is called ...Read more