Vendor Registration Form NJWC Membership Type(Required) NJWC Member NJWC Vendor Member * NJWC Vendor Member ($800) promotional membership for vendors includes all benefits of corporate membership plus a full page ad in our Ad Journal and free booth space at Vendor ShowCompany Name(Required) How Many Attendees?(Required)12345678910How Many People Will be Attending?Attendee Name #1(Required) First Last Attendee Name #2 First Last Additional Attendee NamesRespondent Email(Required) PhonePayment MethodPay By Cash or CheckPay With Credit CardVendor MemberTotal Credit Card Cardholder Name Card Details Please mail to: North Jersey Water Conference PO Box 1011 Fair Lawn, NJ 07410-8011 Please make Checks Payable to “North Jersey Water Conference”Included in Vendor Membership Package Δ