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2023
MidAtlantic IADA
Convention & Expo
ATLANTIC CITY
September 24
th
- 26
th
Are you a Vendor looking for
other options?
Booth & Sponsors
Auction Table
2023 Convention - Attendee Registration
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1
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Event Fee(s)
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Attendee Registration
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Per Person
-
$ 195.00
Total for this participant
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-month-
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Billing Name and Address
Billing First Name
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Billing Middle Name
Billing Last Name
*
Street Address
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City
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Country
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United States
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State/Province
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Postal Code
*
Registration Information
First Name
*
Middle Name
Last Name
*
Dealer Name
*
Mobile #
*
Email
*
I am
*
- I am -
Dealer Owner
Dealer Employee
Spouse of Dealer
Child of Dealer
Vendor
Other
Physical Address
Street Address
*
City
*
State
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- State/Province -
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Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
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Iowa
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Louisiana
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Virginia
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