Clone of 2025 Vendor Registration

2026 Conference Back to Basics Vendor Registration Invoice Request

Please complete the form below
Contact Person's Full Name*

First NameLast Name
I am requesting an invoice to pay registration by check.*

YesNo- Please use the standard registration form to pay by credit card
Name of vendor representative attending

First NameLast Name
Business Name*
Business Address*

Street Address

Street Address Line 2

CityState / Province

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

Area CodePhone Number
Contact Person E-mail*
This is the address to where the invoice will be sent via email
Email for vendor representative
example@example.com
Please list any vendor representatives attending in addition to that listed above.
Name of product/service to be displayed*
Description of product(s)/service(s) being displayed.
Please include any oversized items or displays
Check box if you will require electricity for your display. Please bring your own extension cord if you require electricity. IT support is not available.

Yes, I require electricity and will bring my own extension cord
Will you be offering any prize/giveaways to participants?
Payment

Conference vendor fee is $500.00 per display. The fee covers attendance for up to two vendor representatives and a six-foot display table with two chairs for the vendor fair; coffee, tea, breakfast, snacks and lunch. An additioanal $50.00 will be charged for each representative over the standard two vendors to help defray the cost of meals.
Payment

If you have not received an invoice within 5 business days after submitting registration please contact apicnm_admin@apicnm-32.org

Mail registration checks to:

APIC of NM, PO Box 93152, Albuquerque, NM 87199-3152

Payment must be received by March 21, 2026 to confirm table.
My Products
prevnext( X )
Vendor booth fee$500.00
Includes one six-foot table with 2 chairs, coffee, tea, breakfast, 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.

Quantity

Total $0.00
Should be Empty:

2026 Conference Back to Basics Vendor Registration Invoice Request

Payment