EXHIBITOR/Vendor REGISTRATION FORM 24/25 Conference

 Fee per table is $275.00, payable to: LILAC or using PayPal

Deadline for all forms is March 14, 2025.

Please contact Kyrie Siegel at ksiegel@mccsd.net if you have any questions.

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Email *
I will need the following for my table: *
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I will be happy to help sponsor the conference for the following amount: (Please send check to Kyrie Siegel at 288 Holbrook Avenue, Ronkonkoma, New York 11779 by March 14th, 2025) 
I will be happy to provide the following handouts for participants of the conference: (Please mail handouts or raffle gifts to Kyrie Siegel at 288 Holbrook Avenue, Ronkonkoma, New York 11779 by March 14th, 2025) *
I will be happy to provide the following gift(s) for the raffle: (Please indicate number of items being raffled, and please mail handouts or raffle gifts to Kyrie Siegel at 288 Holbrook Avenue, Ronkonkoma, New York 11779 by March 14th, 2025.)

Please list your company name(s) and your name(s) as you would like them to appear in the program, along with a telephone number, address, and email address where you can be reached.  Please include the following information to ensure we enter your name and information correctly in our program.

Company: _______________________________________________________

Exhibitor Name(s): _______________________________________________________

Address: _______________________________________________________

Telephone: _______________________________________________________

E-mail: _______________________________________________________


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