Company Name * Address * City * State * Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Labrador Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland Northwest Territories North Carolina North Dakota Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Yukon --Territories-- American Samoa Federated States of Micronesia Guam Midway Islands Puerto Rico U.S. Virgin Islands Zip * Country * Canada United States of America Telephone * Fax E-mail Address: * Website
If you will have someone present at the
LTAA New Product Showcase event
On-site Contact Person * On-site Cell Phone *
Four entries per LTAA member-company will be guaranteed. Additional entries will be considered on a first-come, first
served basis. Size of product may be a consideration.
This product is * An entry that I am guaranteed will be included in the Showcase An entry that I would like to include if space is available
Approximate Dimensions
Length X Width X Height *
Weight *
The following information, in addition to your company name above, will be included on the signage that will be displayed with your product.
Product Name * Product Description (limit to 25 words; SEMA reserves the right to edit) * Suggested Retail Price - $ *
Information About the Product
How does it benefit the truck accessories industry?
Second Product
This product is An entry that I am guaranteed will be included in the Showcase An entry that I would like to include if space is available
Approximate
Dimensions
Length X Width X Height
Weight
The following information, in addition to your company name above, will be included on the signage that will be displayed with your product. Product Name Product Description (limit to 25 words; SEMA reserves the right to edit) Suggested Retail Price - $ Information About the Product How does it benefit the truck accessories industry
Third Product
This product is An entry that I am guaranteed will be included in the Showcase An entry that I would like to include if space is available
Approximate
Dimensions
Length X Width X Height
Weight
The following information, in addition to your company name above, will be included on the signage that will be displayed with your product. Product Name Product Description (limit to 25 words; SEMA reserves the right to edit) Suggested Retail Price - $
Information About the Product
How does it benefit the truck accessories industry
Fourth Product
This product is An entry that I am guaranteed will be included in the Showcase An entry that I would like to include if space is available
Approximate
Dimensions
Length X Width X Height
Weight
The following information, in addition to your company name above, will be included on the signage that will be displayed with your product. Product Name Product Description (limit to 25 words; SEMA reserves the right to edit) Suggested Retail Price - $
Information About the Product
How does it benefit the truck accessories industry
Shipping Information
Product(s) Delivery Method * I will hand-deliver my product I will pre-ship my product Product(s) Pick-up Method * Please ship my product back to me after the event I will take my product back with me after the event
Shipping Address:
Not required unless ship to information is different from above.
Ship to Name Ship to Address Ship to City Ship to State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming --Territories-- American Samoa Federated States of Micronesia Guam Midway Islands Puerto Rico U.S. Virgin Islands Ship to Zip Shipping Carrier Shipping Account Number
If you have any questions about the
Shipping Account Number, please contact Brooke Fisher, 909-978-6693 or brookef@sema.org.
Entry forms must be received by Friday,
July 25, 2014
* Required