Vendor Registration Form
VATE’s Annual Fall Conference
October 12-14, 2018
Sheraton Roanoke Hotel and Conference Center
Roanoke, VA
8:30-5 Friday; 8-4 Saturday
#WeAreVATE: We Are The Change

Please complete the entire form. Then complete your purchase of a vendor table through our online store at or mail your check to VATE Vendor Conference Registration c/o Cheryl Golden, 10259-B LakeRidge Square Ct., Ashland, VA 23005. Cost is $120 per vendor table. This amount is nonrefundable and due no later than September 31, 2018.
Email questions to
Thank you for your support!

Email address *
Company name *
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Company contact *
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Phone number *
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Business Address *
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On-site Contact *
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On-site Contact Phone Number
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Does your company require electricity? *
Would your company like to donate any items for door prizes? *
If you answered "yes" to the above question, please list the items below.
Your answer
Would your company like to sponsor an event, in a full or partial amount, at our conference? *
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