Spark the Change Exhibitor Opportunities
After you fill out this order request, we will contact you to verify your registration. If you have any questions, please  contact us  at (972) 233-9107 x222 or admin.dal@dyslexiaida.org
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Company/School Name (as it will appear on printed material)     *
Contact Name *
Contact Email *
Address *
Phone Number *
Exhibit Space Options *
*Note: All materials displayed must be on top of the table.  Nothing can be impeding the walkways, doorways, or beyond the table edge.  Extra materials may be placed under the table.  Exhibitors may not bring additional personal tables.    
Please list the names of each individual that will be present at the exhibitor table (first & last name). *
Please list each individual on a separate line.
Will you need an electrical outlet for your exhibit space? *
Required
If you are interested in attending the speaker sessions, for an additional fee, please complete the information below. Please note that a plated lunch is included as a session attendee.   *
Complete for session attendee #1
Required
If you are interested in attending the speaker sessions, for an additional fee, please complete the information below. Please note that a plated lunch is included as a session attendee.
Complete for session attendee #2
Name and email addresses of individuals attending the speaker sessions.
Only complete this section if you are paying the additional fee(s) to attend the the Spark the Change speaker sessions.                                 Please key each individual and email on separate lines.
Plated lunch option
As an exhibitor only, if you would like to purchase a plated lunch you may do so for a fee of $50 per lunch.  
Door Prize Donation *
This is the opportunity to bring a smile to someone and advertise your company or product.  If you would like to donate an item, certificate, etc please share the details below. Include the item description and value.   We appreciate your generosity and are grateful for your donation. Items may be mailed to our office or brought to the hotel during early setup.                                                                                                                                                    Mail  to:                                                                                                                                                                                                                                        Dallas IDA, Attn: Door Prize, 14070 Proton Rd, Dallas, TX 75244
Description & dollar value of door prize item.
I will require a purchase order for my exhibitor space. *
If you require a purchase order for your exhibitor registration a $10 fee will be added to the total.
Credit Card Payment *
Name on credit card  
Credit Card Number
Credit Card Expiration Date (mm/yy)
Credit Card Security Code  
If you are paying via credit card, please help ensure that 100% of your donation goes to the Dallas IDA by authorizing a 3% surcharge to cover credit card transaction fees.    
Payment by check *
Make checks payable to Dallas IDA and mail to                                                                                                                                    Dallas IDA Conference                                                                                                                                                                             Exhibitor Registration                                                                                                                                                                                14070 Proton Rd., Suite 100                                                                                                                                                                                    Dallas TX 75244
Required
Thank you for your support!  
The Spark the Change Conference can only be a success with your support and partnership.  
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