Dealer Room Application Form
Thank you for your interest in becoming a dealer at ConFusion. Please note:

*The Dealer Room is juried (not all applicants will be granted space).
*Table prices are $85 for the first table (this includes one badge).
*Additional tables are $60. Limit of 4 tables.
*Only 1 badge is included in the purchase of the first table.
*No refunds/transfers/exchanges on Dealer tables or badges after acceptance and purchase.
*Additional badges will be available to selected dealers through pre-registration for $35 (1 Per Table).
*Payments are done through PayPal.
*Additional badges purchased after pre-registration is closed will be subject to at-the door prices.
*Applications are due by August 31, 2017.

Name of Company:
Your answer
Legal Name of Dealer:
Your answer
Badge Name:
Your answer
Mailing Address:
Your answer
Home Phone:
Your answer
Mobile Phone:
Your answer
Email:
Your answer
Webpage:
Your answer
Description of Items for Sale:
Your answer
Number of Table Spaces Requested?
Each Table Space is 6 feet. Limit 4.
Number of Physical Tables Needed:
If you bring your own displays, please be sure it will fit inside your allotted space (above).
Number of Chairs Requested:
Do you have any electrical needs? If yes, please describe.
Your answer
Notes or Special Requests:
*Special requests are not guaranteed.
Your answer
Will you need additional badges for other table workers?
Reminder: Badges not purchased through our vendors application are subject to regular pricing at time of purchase.
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