Copyright 2019 · 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 2021 YMRC Marketplace* New Orleans, LA - Jefferson Parish - 9/19-21/2021 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 WebsiteWill you be staying at the Host's Property?* Yes No SERVICE CHARGE Price: $100.00 I UNDERSTAND AND AGREE TO THE SERVICE CHARGE IF I AM NOT STAYING AT THE HOST PROPERTYPaymentThe 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*$795-Bronze Member Price$695-Gold Member Price$595-Platinum Member Price$495-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 155 Industrial Park Dr. Hollister, MO 65672Yes, 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 & beyond
