FLORIDA FIRE SERVICE April 2018 20 1/31/2017 2018 NATIONAL EMERGENCY VEHICLE TECHNICIAN TRAINING ACADEMY 13TH ANNUAL MINI-EXPO| THURSDAY, MAY 17, 2018 Advanced Technology College | 1770 Technology Boulevard |Daytona Beach, FL 32117 Company Name: Contact Person: Address: City, State ZIP: Email: Phone: Fax: Products: DEADLINE FOR TABLE RESERVATIONS IS MAY 6, 2018 # OF TABLES = FFCA Corporate Member Price $90.00 Per Table Non-Member Price $105.00 Per Table PAYMENT DUE $ *Check # Charge AmEx Discover MasterCard Visa Credit Card Number: Expiration Date: CVV: Name on Card: Same as Above Credit Card Street Billing Address: Same as Above Credit Card Billing ZIP Code: Email for credit receipt: *CHECKS PAYABLE TO: Florida Fire Chiefs’ Association | 880 Airport Road, Suite 110 |Ormond Beach, FL 32174 386.676.2744 |Fax 386.676.5490 |[email protected] April 2018 FFS.QXD 4/10/18 1:52 PM Page 20