2017 Nonprofit Organization Application for Bioneers Change Makers Fair
The 2017 Bioneers Change Makers Fair is committed to showcasing the work of organizations that are working to build a more just and sustainable world. We invite you to join our community of leaders and connect with our audience of engaged, environmentally- and socially-conscious citizens.

Please complete the application below. Bioneers staff will review each application and send qualifying exhibitors a link to sign up. Questions? Contact us at: changemakers@bioneers.org.

Early Bird Rate until June 15th, 2017 $575, after June 15th $650

10’ x10’ Booth, (3 side walls) -- Includes canopy, walls, anchoring, one 6’ tables with linen, two (2) chairs, electrical power and wifi access.

Early Bird Rate until June 15th, 2017 $850, after June 15th $975

10' x 20' Booth, (3 side walls) – Includes canopy, walls, anchoring, one 6’ tables with linen, two (2) chairs, electrical power and wifi access.

Extra items for an additional fee:
Additional 6’ table and linen: $30.00
Additional Chairs - $10.00 each
Front Security Wall:
For 10 x 10 booth: $50.00
For 10 x 20 booth $100.00

Note: The Bioneers Change Makers Fair is a rain or shine event. No refunds will be given for weather. Payment in full is required 30 days after application approval.

Conference passes are not included but are available at a substantial discount. See below for details.

Cancellation policy: 50% cancellation fee until September 1st. After September 1st, no refunds will be given. No refunds for inclement weather.

Email address
Organization Information
Is your organization a 501(c) (3) or 501(c)(4) Not for Profit Organization
Please provide your Tax ID number
Your answer
Please describe your organization’s mission
Your answer
As part of participation in the Change Makers Fair, we request that exhibitors promote the Bioneers Conference and their participation in it. How will you promote your participation?
Your answer
Please provide your web address and other information that you would like to be included in our social media outreach about your organization.
Your answer
Personal Information
Your answer
First Name
Your answer
Last Name
Your answer
Job Title
Your answer
Your answer
Address Line 1
Your answer
Address Line 2
Your answer
Your answer
US State/Canadian Province
Your answer
Zip (Postal Code)
Your answer
Work Phone With Extension
Your answer
Your answer
Other Info
Have you previously been to the National Bioneers Conference?
Have you been an exhibitor in the past at a Bioneers Conference?
If yes, how many times?
Your answer
How did you hear about the National Bioneers Conference?
If you entered Website please provide the URL
Your answer
To Purchase Conference Passes
Your booth fee does not include conference passes. Discounted Conference passes are available to approved applicants at 50% off the purchase price for one ticket and 25% off the second ticket.

*Exhibitors may staff their booth with as many employees as necessary. The purchased conference passes may be shared by multiple staff members.
*Conference passes are required for admission to morning plenary sessions, afternoon sessions and film screenings. Conference passes are NOT required for entry into the conference grounds or any of the exhibition areas.

If you plan to purchase conference registration(s), please enter the names for up to two conference passes below. You may put "Exhibitor Staff" if you plan to share your passes. The cost of those passes will be added to your booth fee once you have received approval
Your answer
By checking this box, you agree to allow Bioneers to contact via email regarding the Change Makers Fair.
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