2023 Conference Vendor Registration

2023 Vendor Registration

Please complete the form below
Full Name*

First NameLast Name
Name of vendor representative if different than above

First NameLast Name
Business Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Mobile Number for onsite Rep (for in case of emergency or to share pertinent information)

Area CodePhone Number
E-mail*
Email for vendor representative if different than above
example@example.com
Name of product/service to be displayed*
Description of product(s)/service(s) being displayed
Check box if you will require electricity for your display. Please bring your own extension cord if you require electricity.

Yes, I require electricity and will bring my own extension cord
Please let us know what giveaway items you may be bringing, such as bags, pens, screen wipes, etc.
Payment

Conference vendor fee is $400.00 per display. The fee covers attendance for up to two vendor representatives and a display table with two chairs for the vendor fair; coffee, tea, snacks and lunch. An additional $50.00 will be charged for each representative over two to help defray the cost of meals.
My Products
prevnext( X )
Vendor booth fee$400.00
Includes one six-foot table with 2 chairs, coffee, tea, snacks and lunch.

Additional vendor representative (if over 2 reps)$50.00
If more than 2 vendors will be present, the cost is $50 per additional vendor.

Total $0.00

Pay with PayPal

Please click one of the PayPal options to complete payment and submit the form.

Payment