Empire State Entrepreneur Expo 2023 Vendor Registration Form

Empire State Entrepreneur Expo 2023 Registration Form

May 12th 9:00am - 2:00pm SUNY Cobleskill, Prentice Hall
The Expo will provide an opportunity for businesses to showcase their products to buyers and the community through a tasting event.
Business Name*
Name*

First NameLast Name
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Provide a brief overview of your business*
What products will you have available for testing?*
Electrical outlets/extension cordsCooler
EmailAdvertisementFriend or ColleagueSocial MediaOther
If you chose other, tell us where you heard about the event.
Dietary Restrictions for Lunch*
Names for Name Tags*

My Products

Participant Booth

1 Booth, 2 boxed lunches, 2 staff.

$60.00 Quantity

Extra Staff

Per Person cost, Includes boxed lunch

$25.00 Quantity

Enter coupon

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Empire State Entrepreneur Expo 2023 Registration Form