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Ten County Exhibitors Form
Please submit all payments with a Check payable to Ten County Math Conference mailed to:

Stacy Rhubin
6 Second Street
Walden, NY 12586
Email address *
Company Name: *
Address *
Telephone *
Representative Name *
Representative e-mail address *
Telephone *
Do you need an electrical outlet? *
Table Reservation *
If you need additional lunch tickets how many?
Can we count on you for a raffle prize? *
Are you interested in sponsoring an event? *
If yes, please indicate or contact Stacy Rhubin (
Are you interested in advertising in the conference program? (If yes, submit print-ready ads no later than January 30, 2019) Fee for a half page ad (5.5" high by 4.25" wide) is $50 *
Any additional information?
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