Vendor Registration Form
LOVE Rockford 
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Email *
What Agency are you from? *
Phone Number

*
Address
How many Representatives will be in attendance?
Name of Representative(s)
Do you need a table?
Clear selection
Can you share a table with another agency?
Clear selection
Do you need electrical hook up?
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
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