2017 ESC 2 Technology Conference - Vendor Registration
REGISTRATION DEADLINE IS OCTOBER 15, 2017
A $50.00 late fee will be applied after registration deadline. Payment must be post dated by October16, 2017.
Vendor Information
Company Name *
Your answer
Company Contact *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Contact Phone Number *
Your answer
Email Address *
Your answer
Website Address *
Your answer
Type of Company
Your answer
Brief Description of Your Company *
Type is exactly how you want it to appear in the program booklet.
Your answer
Complimentary Exhibitor Badges
Your answer
Your answer
Your answer
Your answer
Booth Information
Vendors must provide their own extension cords, power cords, and/or surge protectors. If you are bringing in large equipment and/or a large display, we encourage you to register for a 12 ft.Tabletop Exhibit. Booth assignment will depend on the size of the booth chosen and are on a first-come, first-served basis.
Please indicate what type of equipment or displays your company will be using *
Required
Please select the appropriate size booth for your equipment and displays *
Required
If a vendor will be sharing a booth with another vendor, the vendor submitting the registration form will be responsible for full payment.
NOTE: Late registration fee of $50.00 will be applied to total after October 15, 2017
Vendor Sponsorship
Our company agrees to provide the following items through a vendor sponsorship for the Education Service Center, Region 2 Technology Conference on November 8, 2017. I am an authorized representative that can commit my company to providing these items. Education Service Center Region 2 will designate a page in the program booklet and a poster for display for each sponsor. DEADLINE FOR PAYMENT SUBMISSION IS October 15, 2017. NO REFUNDS WILL BE ISSUED AFTER October 20th, 2017.
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