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Pregnant In The Piedmont Sponsor and Vendor Application 2017
Saturday, April 29th, 10 am to 2 pm, at Novant Health Forsyth Medical Center Conference Center
Please note, we are now full for this year's event. Please fill out the application below to be considered for our wait list, and to be added to our informational email for next year's event.
Early Bird registration through January 31st, 2017
Sponsor, $275, Vendor $75, Double Vendor spot $150, Nonprofit $25
(Prices increase January 31st, $300 sponsor, $85 vendor, $170 double vendor, $35 Nonprofit)
Contact Name *
Your answer
Business or organization name *
Your answer
Email address *
Your answer
Website
Your answer
Name(s) of staff members attending event *
Your answer
Mailing address (including City, State, ZIP) *
Your answer
Phone number *
Your answer
Please choose your registration level (sponsorship level is full) *
Please list the goods/services you plan to display
Your answer
Will you need electricity? (First come, first serve basis, limited availability) *
Will you be contributing an item to Pregnant In The Piedmont swag bags? (for the first 100 attendees) *
If yes, what will you be adding to the bags?
Your answer
Will you be contributing a door prize? (door prizes will be announced on social media, and at the event itself. Prize must be at least a $25 value) *
If yes, what will the prize be?
Your answer
Please provide a brief description of your organization. This may be used for marketing purposes.
Your answer
Please note, Pregnant In The Piedmont, Piedmont Doulas nor Novant Health Forsyth Medical Center can guarantee the number of participants. Registration is NOT complete without payment, and spaces cannot be held without payment.
I have read and agree to the information contained within the Participation Agreement, found here: https://goo.gl/ldyTUU *
Required
By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge, and than you have read and agree to the Participation Agreement. https://goo.gl/ldyTUU *
Your answer
This form is an application, and does not guarantee you a space at Pregnant In The Piedmont 2017. If you application is accepted, you will be sent an invoice via PayPal. Once paid, a confirmation email will be sent to the email address provided.
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