Sponsor/Exhibitor Registration Form

Sponsor/Exhibitor Registration Form
- Contact Name*
  
  First NameLast Name
- Business Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Phone Number
  Format: (000) 000-0000.
- Mobile Phone
  Format: (000) 000-0000.
- Contact E-mail*
  example@example.com
- I want to be a sponsor! Sign us up for a Sponsorship+ Package!
- Sign us up for a Diamond Level+ Package!
- Sign us up for a Ruby Level+ Package!
- Sign us up for a Sapphire Level+ Package!
- Sign us up for a Emerald Level Package! (Exhibitor Booth Not Included in Emerald Level)
- Exhibitor Booth
- Additional Booth Requirements (each booth includes a 6ft table & 2 chairs, table clothes are not provided).
  Additional number of booth attendees
- Briefly describe the products/services you will be exhibiting
  not necessary but could be helpful for exhibitor setup
- Add any additional requirements, comments, or invoice request for check submission
  Please mail checks to PO Box 588, Belleville, MI 48112
- Signature
  
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- Should be Empty: