Clone of Seaside - GMP Resource Booth Registration

Resource Organization Booth Application
Resource Organization Name*
Organization's Website Address*
Your Name*

First NameLast Name
Your Phone Number*
Your Email Address*
example@example.com
Name of Booth Manager #1*

First NameLast Name
Title
Title
Name of Booth Manager #2

First NameLast Name
Title
Title
Address*

Street Address 1

Street Address Line 2

CityState

Zip Code
In 100 words or less, tell us what resources your organization provides:

0/100
Which of the following best describes your organization type?*

For Profit OrganizationNon-Profit OrganizationFederal Government AgencyState Government AgencyLocal Government AgencyPublic Educational Institution
Are any ADA accommodations required for your booth or staff?

YesNo
Tell us what ADA accommodations are needed:
Should be Empty: