LISTEMELA Vendor Registration Form - Fall 2025 Conference

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This year, LISTEMELA is excited to offer a vendor opportunity to interact with science leaders in New York State. Vendors will exhibit and interact with science leaders and teachers during scheduled breaks, lunch, and at the conclusion of the full-day workshop.

Annual Fall Conference: October 16, 2025 - Levittown Memorial Education Center

You may purchase with a credit card or cash on the day of the event or if you prefer you may make payment prior by contacting the LISTEMELA Treasurer below. You may also request a formal invoice if required.

LISTEMELA Treasurer, Kevin McDermott - Listemelatreasurer@gmail.com (516)313-5763

Email *

Corporate Sponsor Name *

Sales Representative Last Name *

Sales Representative First Name *

Sales Representative Phone Number *

Sales Representative Email *

If different than the email listed above.

Sales Representative Street Address *

Sales Representative City *

Sales Representative State *

Sales Representative Zip Code *

Will you provide a raffle donation? *

Yes

If yes, please indicate prize.

Are you interested in a partnership or only vendor space?

I want to become a LISTEMELA partner.

I only want to purchase vendor space at the event.

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