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Registrantsmustbe21yearsofageoroldertoregister.PleasecopyforadditionalregistrantsPleaseprintclearlyBusinessCardRequiredSelectOneBadgesmustbeworntoentertheConferenceArea.CancellationRefundsFaxorMailYourRegistrationtoTaxI.D.BusinessLicenseRegistrantInformationName________________________________________________________________________Title_______________________________________________________________________________CompanyName________________________________________________________________________________________________________________________________________________________________________________________________________MailingAddress__________________________________________________________________________P.O.Box______________________________________________________________City___________________________________________________State__________________________Country___________________________PostalCode_________________________Phone_______________________________________Fax_________________________________________Email________________________________________________________________Website___________________________________________________________________________________________________________________________________________________________AdvertisingAgencyAssociationConvenienceStoreofstores_________________ImportExportLegalConsultantLiquorStoreofstores________________________MassMerchantofstores___________________Multi-StoreTobaccoOutletofstores________Press________________RetailStoreofstores________________________SingleStoreTobaccoOutletSupermarketofstores_______________________Tobacconistofstores________________________WarehouseClubofstores___________________WholesalerDistributorWholesalerwithRetailStoresofstores______Other___________________________________________ManufacturerSupplierapplicablechargesapplyseebelowClassofTradeDoyouplantoattendtheConferenceSessionsYesNoContinentalBreakfastandConferenceSessionsareComplimentary.ExhibitsConferencesSpecialEventsRegistrationFeesNumberofTotalPre-RegOn-SiteRegistrantsFeesDueExhibitsOnly3050Non-ExhibitingManufacturerSupplier250275OpeningNightReception530p.m.-730p.m.LasVegasHiltonHotel5050CigarBlendingDemonstrationExhibitHallCheckOne4050Pleasecheckpreferredsession-Wednesdayat2p.m.orThursdayat2p.m.TotalDuePaymentInformationCreditCardCheckpayabletoTMGIntlAMEXMasterCardVISA________________________AmountofpaymentTMGIntlwillappearasvendoronyourcreditcardstatementCard______________________________________________________Expdate________________________________________Nameasitappearsoncard___________________________________________________________________________________BillingAddress_________________________________________________________________________________________________City_________________________________________________________________State____________________________________Country______________________________________________________PostalCode____________________________________Signature______________________________________________________________________________________________________RegistrantsmaysendasubstituteNorefundsTobaccoPlusExpoRES33FlaxMillRoadBranfordCT06405Tel888737-3976Fax203483-5778Pleasecompleteone__________________________________________________________________________________________LasVegasConventionCenterMarch2-32011