2015 Instructional Technology Conference Vendor Registration

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Please complete this form by August 1st.

First & Last Name of Exhibitor *

Email Address *

Name of Your Company *

Phone Number *

First & Last Name(s) and email address of Anyone Attending With You

What does your company or organization do or provide? *

Are you interested in speaking at the conference? *

If yes, someone will contact you.

Yes

What level exhibitor will you be? *

Silver- $350

Gold- $600

Platinum- $1000 (Priority in Vendor Location)

Snack Sponsor- $1500 (Highest Priority in Vendor Location)

How much space do you need? *

We cannot promise this amount of space, but we will do our best to grant your request

Do you have any special requests or needs?

Would you like an extra table? *

Yes ($100)

Would you like to buy an advertisement to go in the IT Conference Program? *

Yes ($150)

Ad is included in my vendor package (Platinum & Snack Sponsors)

Would you like to have your company logo on the back of our IT Conference t-shirts? *

Yes ($250)

Ad is included in my vendor package (Snack Sponsors)

Billing Contact: *

First and Last Name of Person Responsible for Payment

Billing Email Address: *

Email Address of Person Listed Above

PO Number

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