Exhibitor Form

Exhibitor Form
Cost: $500

Deadline: May 15, 2026

We invite you to explore our sponsorship package, which includes an exhibit booth, to help you maximize the impact of your generous contribution.
1. Business Name*
2. Email*
example@example.com
3. Name*

First NameLast Name
4. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
5. Mobile/Text Number*
Please enter a valid phone number.
6. VideoPhone
Please enter a valid phone number.
7. Business Website
8. Social Media Handle
9. Business Logo File Upload*

Cancelof
10. Services Offered (check all that apply):*

DeafBlind ServicesInterpreting AgencyTranslation AgencyDeaf Business OwnerFood & BeveragePhotographyNonProfitEntertainment
11. Please describe your experience providing services for conferences, large-scale events, or Deaf-centered spaces:*
12. Agreement

By submitting this form, I confirm that the information provided is accurate. I understand that submission does not guarantee selection; DIC5 organizers will review applications, request quotes, and issue contracts to selected vendors. This conference is a unique space created by and for Deaf Interpreters to celebrate our identity, culture, and community. All attendees, including exhibitors and guests, must be DEAF. If your business or organization has a Deaf representative, we warmly welcome them to participate on your behalf. Thank you for honoring the spirit of this event and supporting us.
Entering your name below serves as your electronic signature.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Payment
Payment is processed through Zeffy. After you click CONTINUE below, this form will be SUBMITTED and you will be redirected to the Zeffy Online Payment Registration Form. Sponorship is CONFIRMED ✅ once payment 💵 is RECEIVED.
Should be Empty:

Exhibitor Form

12. Agreement

Entering your name below serves as your electronic signature.

Payment