2021 WAHPERD EXHIBITOR FORM
The 2021 WAHPERD Convention will be held November 13-14 in Casper, Wyoming.  

For questions contact Nathan Vondra at nathan910@myncsd.org 
 We will contact you will set up times and hotel accommodations when they become available.

Please fill out the information below and remit the exhibitor fee:  Todd Dulaney; 1302 Scott Drive, Rock Springs, WY 82901 or email for more information: dulaneyt@sw1.k12.wy.us

EXHIBIT FEE: $50.00

IF AS AN EXHIBITOR YOU WOULD LIKE TO PRESENT A SESSION IN ADDITION TO EXHIBITING, PLEASE  COMPLETE THE EXHIBITOR PRESENTER FORM BELOW.  PRESENTER SESSION SUBMISSION DEADLINE IS SEPTEMBER 25, 2021.


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Company or Agency  Name *
Contact Person First Name *
Contact Person Last Name *
Contact's Phone *
Contact's Address *
Email address (best to be contacted with) *
Name tag information (First name, Last name, title) *
Name tag information (First name, Last name, title) 2nd person
Name tag information (First name, Last name, title) 3rd person
We will donate an item for the Silent Auction
Please describe what you will be donating if you choose to do so.
We will donate an item for door prizes
Please describe what you will be donating if you choose to do so
One exhibitor meal is included in the price of registration.  If you need additional meals please submit a number below and we will get back with you on the cost once it has been set. If you do not intend to use the one provided exhibitor meal, please let us know.   Thank you
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