REGISTRATION FORM
REGISTRATION FORM
TAPS reserves the right to accept or reject any exhibition application. TAPS will assume no responsibility for loss, damage or injury while on the premises of the Pipes & Tobacco Exposition. Exhibitors will indemnify and hold harmless the members of TAPS, all working at the Exposition.
Payment must accompany registration. checks should be made payable to TAPS and sent with registration form to: TAPS, c/o Lon Alterman at the address below.
Exhibitor Tables:
Collector ____________ @ $80 each
Tobacconist ____________ @ $80 each
Pipe Maker ____________ @ $80 each
Manufacturer ____________ @ $80 each
Return registration form to:
TAPS
c/o Lon Alterman
4417 Malvern Rd
Durham, NC 27707
Telephone (919) 475-0445
Name: _______________________________________________
Company: _____________________________________________
Address: ______________________________________________
City: _________________________________________________
State, Zip: ____________________________________________
Telephone: ____________________________________________
eMail : ______________________________________________
I will be entering the Pipe Caving Contest Yes ____ No _____
Signature: _________________________________________ Date: _______________