Exhibitor form

Full Name*

First NameLast Name

Company name & type of company

E-mail*

Name of staff (2 maximum)

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Please choose which event you would like to be an exhibitor

My Products

Exhibitor booth ( includes one table with two representatives, and business name listed on website)$200.00

Speaker's exhibitor booth (includes one table with two representatives, and business name listed on website) No Charge waive speaker honorarium$ Free

Exhibitor booth $200 (need to send invoice and W9) if you need invoice please select this option.$ Free

Total $0.00

Payments are processed through Stripe, if you prefer to receive an invoice please email info@team-nurses.org or call 708-858-1223