2023 WVOTA Conference Vendor Sign-Up
Thank you for your support to the West Virginia Occupational Therapy Association and to the profession of Occupational Therapy. We look forward to collaborating with you and showcasing you as a vendor at our 27th annual conference!
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Company Name *
Company Address *
Company Website and/or associated Media *
Name of Contact Person *
Phone Number *
Email Address *
Number of representatives setting up *
Name of representatives setting up (include professional credentials) *
Level of Sponsorship *
Will you need a table? *
Do you wish to donate items to the silent auction (This may be a sample of your products, a gift certificate, or any item with a value of at least $20.00)
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If answered YES to donation towards silent auction, please list what you will donate: 
Food allergies? Please indicate Yes or No (for purposes of lunch the day of conference). *
If you answered YES to having food allergies, please list the allergies below:
Please indicate any questions and/or special requests you may have below:
Payment information
Digital payment located on our website: https://www.wvota.org/vendor-sponsor-call-2023

-Click "2023 WVOTA Vendor Form"
-Website will prompt to create a free account, select "conference vendor" membership type, and enter payment information

Checks can be made payable to WVOTA and mail to:

364 Patteson Dr. #524
Morgantown, WV 26505

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