Exhibitor Registration Form

Exhibitors Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date Selection*

Wed. July 3rd, 2024Thurs. July 4th, 2024
How did you hear about WODIL Conference*
Referred by
Disability

I am disabled and will need event access assistance
What are your disability needs
WODIL Terms & Conditions*

Please check this box to confirm that you have read the refund policy and agree to the Terms & Conditions stated on that page
Billing address

Same as mailing addressDifferent from mailing address
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

My Products

Basic Exhibition

$1,000.00CAD

Silver Exhibition

$2,500.00CAD

Gold Exhibition

$5,000.00CAD

Platinum Exhibition

$7,500.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Exhibitors Registration Form