Company Name

Company Address

Phone Number

Web Address (required for a Vendor page link)

Email address

Type of Company:
Material Vendor
College
Non-Profit Group
Religious Group
Group or Club (ie Theater troupe, German Club, etc)
Other:

Number of 8 ft. tables requested at
$72 per table (paid by Feb. 12)
$80 per table (paid after Feb. 12)

Number of name tags/table personnel
(lunches are limited to the lesser of tables purchased or staff)

I will be sending materials for inclusion in conference packets
I will be donating an item to be awarded as a door prize

Special Requests:
Electricity
If you have any other special requests, please state them below. Although we will do our very best to honor your special requests, due to space limitations not all requests can be granted.

Once we verify space, you will receive a confirmation notice and payment instructions.  Once your attendance is verified and payment is received, your name will be added to our conference vendor list on the website. 

For your records, please print this page before clicking the "REGISTER" button below.