2019 Career Exhibitor Registration
Regional Office of Career and Technical Education
Mary Jo Wood, Director
Taylor Cook, Projects Coordinator

CONNECT!
TUESDAY, MARCH 12, 2019
Lincoln Land Community College, Cass Gymnasium

Participation *
Business Name *
Your answer
Business Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Contact Person - Prefix *
Contact Person - First Name *
Your answer
Contact Person - Last Name *
Your answer
Contact Title
Your answer
E-mail address *
Your answer
Phone Number *
Your answer
Number of representatives from your organization who will attend the event *
Your answer
Special needs for exhibit - Tables & Chairs provided
example: access to power, wi-fi, room for displays
Your answer
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