Dealers Room Space Request

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Company and Contact Information

Fields in red are required.

(This should match the name under which you have registered or will register for the convention)
YES   NO
Enter a one-sentence description of what your business or organization does. PLEASE BE BRIEF!
Table Request Information

Fields in red are required. This information will assist us in routing your request.

Videos (DVD/VHS) (domestic)
Videos (DVD/VHS) (foreign)
CD (soundtracks/other)
Manga (in English)
Manga (in Japanese)
Artbooks / other books
Magazines / comics
Wallscrolls / posters
Toys / collectibles
Plush figures
T-shirts / Clothing
Accessories
Video games / systems
Electronics
Art supplies
Other (please describe)
YES   NO
YES   NO
@ $550.00/table     Request corner? ($150 per corner)    
($60 per additional badge)
TOTAL REQUEST AMOUNT: $0

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