Exhibitor Registration for Mental Health & Opioid Symposium
  • Exhibitor Registration for Mental Health & Opioid Symposium

    Complete this form to register as an exhibitor and prepare for the event.
  • Organization Information

  • Format: (000) 000-0000.
  • Exhibitor Setup

  • Registration does not include supplies; vendors must bring their own setup.
  • Paid Add-ons
  • Marketing Information

  • Format: (000) 000-0000.
  • Upload a File
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  • Consent & Agreement

  • By submitting this form, I confirm that I am an authorized representative of the organization listed and that all information provided is accurate and complete. I understand that exhibitor participation is subject to approval and, when applicable, is confirmed only after payment has been received and processed. I agree to comply with all event policies, timelines, and on-site guidelines provided by Empowerment Resource Center (ERC). I acknowledge that exhibitors are responsible for their own setup, materials, and conduct during the event. I grant ERC permission to use my organization’s name, logo, and submitted materials for event-related marketing, promotions, and communications. I also consent to photography and/or video recording of my participation, which may be used by ERC for promotional, educational, and reporting purposes without compensation. I affirm that I have the rights to all materials submitted and that their use will not violate any third-party rights.

  • Signature

  • Date*
     - -
  • Should be Empty: