CBO/MWBE Exchange Social Lounge Sign-Up Form

CBO/MWBE Exchange

Social Lounge Networking Sign-Up Form
Name*

First NameLast Name
Organization Name*
50 character limit
Email*
example@example.com
Do you also want a booth in the exhibit hall?*

YesNo
Please select the services or product categories you are interested in. (You can select multiple options if you are procuring in more than one category)*

Non-Profit Capacity BuildingMarketing and Promotional MaterialsProfessional Development and CoachingProfessional Services, including Accounting/AuditingSupplies, including for Office and ActivitiesTechnology and Communications
Do we have permission to publish your organization's name and the services and product categories you are interested in on the event website?*

YesNo
LOGO UPLOAD

Please submit your logo.

Support:
Please contact LaToya Smith at latoya@brasscitymedia.com, should you need additional information for image specification.
Logo Upload: (if you upload multiple our team will select the most suitable for display)
Please verify that you are human*
Should be Empty: