* Required
Salutation: First Name: * Last Name: *
Company Name: E-mail Address: * Company Website:
Street Address: Address Line 2:
City: * State: Postal Code: *
Country: Phone Number: Fax Number:
What type of company do you work for?
Which best describes you?
Are you a CDL holder? Yes    No
If Yes, Class? A    B
Do you make purchasing decisions? Yes    No
Number of class 1-5 trucks you own/your company operates?
Number of class 6-8 trucks you own/your company operates?
What type of trailers do you or your company use?
Dry Van Flat Bed
Van (Refrigerated ) Tank
Low Boy/Drop Deck Dump
Other  
What brand trucks do you or your company operates?
Volvo Western Star
Peterbilt Mack
Kenworth International
Sterling Ford
Freightliner Other
Are you looking to purchase a new truck? Yes    No
If, Yes how are you planning to do so? Brand New (straight from dealer)
Used Certified (Straight from dealer)
Used (Other)
Lease Purchase with a company
Do you plan on attending conferences? Yes    No
If yes, which dates? (Select all that apply) Thursday, October 22, 2009
Friday, October 23, 2009
Saturday, October 24, 2009
*Some educational Seminars have fees please see schedule.
Do you need Hotel Reservations? Yes    No
If yes, Dates? Wednesday, October 21, 2009
Thursday, October 22, 2009
Friday, October 23, 2009
Saturday, October 24, 2009
Sunday, October 25, 2009
What dates do you plan on attending the Big Rig Expo, 2009?
  Conferences/Educational
Seminars
Exibit Hall
Thrusday 10/22/09  
Friday 10/23/09 10:00 AM to 6:00 PM
Saturday 10/24/09 10:00 AM to 6:00 PM
See schedule of dates and times to the left:
Thursday - 10/22/09
Friday - 10/23/09
Saturday - 10/24/09
Are you interested in playing in the golf tournament? (Thursday, 10/22/09) Yes    No (Limited space available)
Are you interested in participating in the skeet shooting tournament? (Thursday, 10/22/09) Yes    No (Limited space available)
Will you need reserved truck parking? Yes    No (Limited space available)
Are you participating in the Four Aces Truck competition? Yes    No
If yes Please check the box for category that you wish to enter.
Semi Truck Tri-Axle
Antique/oldest operating Specialty Truck
Make:
Model:
Year:
Other comments or questions?