Exhibitor Draft – The Continuing Challenge

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Exhibitor Registration

If you are human, leave this field blank.

Booth Coordinator

Agency/Company *

First Name *

Last Name *

Title

Address Line 1 *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Country *

Work Phone *

Home/Cell Phone

Email *

Website

OK to link your website to the Continuing Challenge Website?

Yes

No

Contact for Attendees

Check this box if the booth coordinator is the same as contact for attendees.

Agency/Company *

First Name *

Last Name *

Title

Address Line 1 *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Country *

Work Phone *

Home/Cell Phone

Email *

Booth Information

Type of product being displayed. *

Do you need an electrical outlet in your booth? *

Yes

No

If yes, please provide a brief explanation of your electrical outlet needs below.

Do you need a water source? *

Yes

No

Will any part of your product display be placed outside (i.e., out front, next to, etc.) our standard 8x8 booth space? *

Yes

No

If yes, please provide a brief explanation of your space needs below.

Any other special setup needs that we should be aware of? *

Yes

No

If yes, please provide a brief explanation of your space needs below.

Booth # Preference:

1st Choice *

2nd Choice *

Names for Badges:

First Name 1

Last Name 1

First Name 2

Last Name 2

First Name 3

Last Name 3

First Name 4

Last Name 4

Meal Selection

Wednesday Lunch:

# regular lunches in exhibitor area

# vegetarian lunches in exhibitor area

# regular seated lunches

# regular seated vegetarian lunches

Thursday Lunch:

# regular lunches in exhibitor area

# vegetarian lunches in exhibitor area

# regular seated lunches

# regular seated vegetarian lunches

Registration Fees

The current fees in the storefront for exhibitors are.

Exhibitor Booth Rental: $1,500.00 till July 1, then $1,700.00

Please enter the number of booths you want to have.

Quantity *

Cost

Exhibitor Advertising Bag Insert ($350.00):

Quantity

Cost

Grand Total

Promo Code

If you received a PROMO CODE (grant recipients, instructors, etc), please enter your code above. Does your Code have a "0"? This is the number zero, not an "O" as in Ocean.

Billing Information

Check here if the billing information and address exactly matched the booth coordinator information.

First Name *

Last Name *

Title

Agency/Company *

Address Line 1 *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Country *

Work Phone *

Home/Cell Phone

Email *

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Payment Information

PO Number

Promo Code

Class Information

Instructor Name: