2019 WAHPERD Exhibitor Form
The 2019 WAHPERD Convention will be held November 10-12 in Casper, Wyoming.

For questions contact Shawna McIlnay at smcilnay@ccsd.k12.wy.us. 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, please fill out the presenter's form. The form is provided below

https://docs.google.com/forms/d/1XBQuFwvR-Rp8K3VbAFvmIaP3Ya9rF3pes2X0SMT9Unk/edit

Company or Agency Name *
Your answer
Contact Person First Name *
Your answer
Contact Person Last Name *
Your answer
Contact's Phone *
Your answer
Contact's Address *
Your answer
Email address (best to be contacted with) *
Your answer
Name tag information (First name, Last name, title) *
Your answer
Name tag information (First name, Last name, title) 2nd person
Your answer
Name tag information (First name, Last name, title) 3rd person
Your answer
We will donate an item for the Silent Auction
Please describe what you will be donating if you choose to do so.
Your answer
We will donate an item for door prizes
Please describe what you will be donating if you choose to do so
Your answer
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 that cost once it has been set.
Your answer
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