Clone of TARA Exhibitors Registration Form

Exhibitor Registration Form

2026 TARA Conference and Four-State Fusion Trade Show August 27th-29th 2026

All fields marked with * are required and must be filled.
Business Name*
Main Contact Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com

Number of Representative and Badge Name

Rows	Name as to appear on Badge
Total Number of Reps
Representative 1
Representative 2
Representative 3
Representative 4
Representative 5
Representative 6

Number Attending Thursday Yard Tour*
Number Attending Thursday night cornhole, drinks and appetizers*
Number Attending Friday Breakfast*
Number Attending Friday Lunch*
Number of Attending Friday Night Banquet and Auction Dinner*
Number Attending Saturday Breakfast*
Number Attending Saturday Vendor Appreciation Lunch*