Coverings 2011 Publicity Authorization Form

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EXHIBITOR PUBLICITY AUTHORIZATION FORM We require that you fill out the form below to authorize us to publicize your new product introductions. E-mail to V+P by: No later than MONDAY, NOVEMBER 1, 2010 Nicole@veederperman.com or Fax: 212-966-3295.

Please fully complete the following publicity authorization form and exhibitor questionnaire (next page). Company Name:

____________________________ Booth # ________

Contact Name: _______________________________________________ Address: _____________________________________________________ City:

______________________________

Country:

State/Province: ____________

__________________________ Zip/Postal Code: ___________

Phone:______________________

Fax:___________________________

E-mail:______________________________________________________ Web site: ________________________________________________

(Company Name)__________________________________, (Contact Name & Title)_______________________________ (Contact Signature)__________________________________

I authorize Coverings and Veeder + Perman to use my submitted materials for the purpose of promoting my participation in the 2011 Coverings Show. Page 1/2


EXHIBITOR NEW PRODUCT QUESTIONNAIRE If you are exhibiting a new product and would like to be a part of the Exhibitor Preview Press Release that Coverings officially issues, please fill out the questionnaire below and e-mail to Nicole@veederperman.com or fax to 212-9663295 no later than MONDAY, November 1, 2010. V+P strongly encourages digital press kits with press releases and images to be mailed after the questionnaire has been filled out and sent via e-mail. Photos of your product will only be included in the Exhibitor Preview Press Release if they are placed on a CD and mailed to Veeder+ Perman, 568 Broadway #507, New York, NY, 10012 no later than MONDAY, November 1, 2010. Please label all images with product and company name. Each new product requires a separate questionnaire.

Please feel free to use additional pages if necessary.

1. Name of new product or service

2. Briefly describe in no more than three sentences some of the details of your new product or service (i.e., origin, colors, texture, sizes, price range, function/application, materials, unique benefits, etc.)

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