Copyright 2018 · All Rights Reserved (form #307) Suppliers Registration*Denotes Required Fields. YMRC is a membership-based organization, to register for a Marketplace, you must first complete a membership application and make payment to receive the member price. Otherwise, you will be billed at the Non-Member price Please register me to attend the following 2019 YMRC Marketplace Myrtle Beach, SC: Feb 17 - 19, 2019 Baton Rouge, LA: Mar 3 - 5, 2019 Kissimmee, FL: Apr 29 - May 1, 2019 Providence/Warwick, RI: July 28 - 30, 2019 Albuquerque, NM : Oct 13 - 15, 2019 How did you hear about YMRC?*Attended previous YMRC eventsAt another trade showFriend whose in the travel industryReunion PlannerAdvertisementFacebookGoogled military reunionsReunion MagazineYour InformationName* First Last Your Title/Position*Company/Org. Name*Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Company WebsitePaymentThe cost listed below is "PER EVENT- PER PERSON". How Do You Want To Make Payment?Mail Check ImmediatelyInvoice Requested (Additional Time Required)Bill Me for the Following Level*$895-Bronze Member Price$795-Gold Member Price$695-Platinum Member Price$595-Diamond Member$1899-Non-Member Price I want to register an additional person to share appointments with me*YesNoBill me an additional charge based based on whether the additional Rep is a current YMRC Member. Additional charge is based on Your Membership Level.*$350 - Bronze Member Sharing$250 - Gold Member Sharing$150 - Platinum Member Sharing$99 - Diamond Member Sharing$595 - Bronze Member -Non-Member Sharing$495 - Gold Member - Non-Member Sharing$395 - Platinum Member - Non-Member Sharing$295 - Diamond Member Non-Member SharingName of Additional Person*Represented Venue*Email*Total $0.00 Mail Check to: YMRC 1960-J Madison St. Ste. 226 Clarksville, TN 37043Yes, Please subscribe me to the YMRC Newsletter*You will be added to our general email list which we use to send out newsletters, announcements, news & events, etc. We will never sell, rent or give away your information and and you will be able to Opt-out at any time.YESNOComments:Please Note, A Sixty(60) day cancellation notice is required for a full refund.YMRC's Refund Policy is available for review by clicking on this button Supplier Refund PolicyThis form is protected by © YMRC 2014-2016 This iframe contains the logic required to handle Ajax powered Gravity Forms.