1st Annual Autism Unity Conference: “Uniting Parents, Caregivers & Community” Vendor Form

Join us for our groundbreaking two-day conference that will be the first of its kind to unite parents/caregivers of children/adults on the autism spectrum and the community, bringing them together to learn, inspire and grow as we support one another.

This event will include interactive workshops, panel discussions, special keynote speaker(s) & a host of resources, breakfast & lunch will be provided

Date: Thursday & Friday October 17 & 18, 2024

Time: 8AM - 4:30PM (SET UP TIME 7AM)

Location: Robert Treat Hotel

50 Park Place, Newark, NJ 


For more information: 

Call 973-424-7781 or 

Email info.nassansplace@gmail.com or

Vist https://www.nassansplace.org/autismunityconference

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Organization/Business Name *
Contact Person Name *
Organization Address, City, State, & Zip *
Phone *
Email  *
Type of Services/Resources offered *
Select either two day or one day table set up *

Photo/Video Release Agreement

By signing below, I grant permission to Nassan's Place, Inc. and its affiliates, employees, agents, and representatives to use my image, likeness, and/or voice in photographs, videos, or other media for promotional, educational, and informational purposes.

I understand that these materials may be used in various formats, including but not limited to print, online media, and social media platforms. I acknowledge that no compensation or royalties will be provided for the use of these materials and that all rights to the media are owned by Nassan's Place, Inc.

I also understand that my participation is voluntary and that I may withdraw my consent at any time by providing written notice to Nassan's Place, Inc. However, withdrawal of consent will not affect the use of any materials that have already been published or distributed.

If the participant is a minor (under 18), a parent or guardian must sign below:

Please provide your typed signature in the designated field below.

 *
To become a vendor and make a payment please call 973-424-7781 or email info.nassansplace@gmail.com

THANK YOU FOR YOUR SUPPORT!

Nassan’s Place can’t stop the diagnosis, but we can help the families affected by it!
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