Vendor Registration NCDCDT 2019 Transition Conference
Please complete this form to register as a vendor for the NCDCDT 2019 Transition Conference on April 3-5, 2019.

The 2019 NCDCDT Transition Conference is being held at the Embassy Suites, Greensboro, NC.

4/3/2019 -
11:00-1:30​ - Conference Attendee Registration
1:00-1:30​ - Dessert Social & Networking
1:30-5:00 -​ Plenary Session
5:00-7:00 -​ Conference Social-for ALL attendees (heavy hors d'oeuvres & networking)

4/4/2019-
7:30 -8:30 - Conference Attendee Registration
8:30 - 4:30 - Conference Sessions and Buffet Lunch

4/5/2019
8:00 - 8:30 - Conference Registration
8:30 - 12:00 - Conference Sessions

*For-profit fee is $250.00.
*Non-profit fee is $100.00.
*Additional tables available for $32.00 each.

The vendor fee of $250.00 (for-profit) OR $100.00 (non-profit) includes one covered table, two chairs, and internet access (4/3 - 4/5), one lunch buffet meal on Thursday (4/4), as well as conference break snacks.

Email address *
Company or Organization Name *
Your answer
Representative Name - #1 *
Your answer
Representative Name - #2 *
Your answer
Contact Information: Street Address *
Your answer
Contact Information: City *
Your answer
Contact Information: STATE *
Your answer
Contact Information: ZIP *
Your answer
Contact Information: Business Phone Number(s): *
Your answer
Contact Information: Cell phone Number(s): *
Your answer
Contact Information: Email Address *
Your answer
Are you a Non-profit Organization? *
Nonprofit Tax ID Number:
Your answer
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