Please PRINT clearly!
First Name_____________________
M.I____ Last Name_________________________
E-mail address
___________________________________________________________________
______________________________________________________________________
MOBICON
RULES OF CONDUCT:
1. Your badge must be visible at all
times. Badges must be worn above the waist and to the front of your body. A
replacement badge will cost $5.00 for the first then full cost for admission
after that.
2. NO Drugs, nor any member under the
influence of illegal substances will be allowed on convention grounds-this
includes underage smokers and alcohol abuse by anyone regardless of
age.
3. There will be no smoking
except in designated hotel areas or outside.
4. Along with your badge, you must
keep photo ID on your person at all times.
For any additional information you
may visit the website: www.mobicon.org
I agree to be completely responsible for
any and all damage I cause to hotel or convention property. I further understand that violation of
Convention rules will result in the loss of my convention badge and expulsion
from the convention events and areas. I also agree to give MOBICON permission
to use my picture(s)for use in promotional purposes. I understand that MOBICON
will, from time to time, exchange information with area conventions. If you opt
out to this please see any member of the registration staff for an opt-out
form.
Signature___________________________________Date__________________
DO NOT WRITE BELOW THIS LINE-STAFF USE ONLY
Pre-reg____ Weekend___ Group___
Comp___ RPGA___ Guest ___ Other________________
Member___
Staff___
Retailer___ Tables___ Extra Badge(s)________ Amount
Paid____________
NOTES: Check #___________