2017 Charter School Leadership Institute Vendor/Exhibitor Registration

The Office of Charter Schools will host the 2017 NC Charter School Leadership Institute on October 12-13, 2017 at Voyager Academy in Durham, NC. We are pleased to offer a limited number of exhibitor/vendor booths. Exhibitor/vendor booths include 1 table, 2 chairs and event registration for one person, with the option to purchase a one hour concurrent session block (see registration options below).

Your registration is not complete without full payment and applicable documentation. All fees are non-refundable unless there is not sufficient space to accommodate all applicants.

PRINT THIS PAGE BEFORE SUBMITTING. Send the printed form with your non-refundable fee to: Office of Charter Schools, 6303 Mail Service Center, Raleigh, NC 27699-6303. Please make checks payable to NCDPI-Cash Management Section and write the code 0801-435600-160048971000 on your check.

To ensure your payment is promptly processed, please ensure that your business/organization name is clearly marked on the check. A confirmation email with additional instructions will be sent once your booth is assigned.

For questions or additional information, please contact Craig Tucker at (919) 807-3495 or craig.tucker@dpi.nc.gov.
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Business/Organization Name *
Contact Person (First & Last Name) *
Email Address *
Street Address *
City *
State *
Zip Code *
Are you affiliated with the following entity types? If you indicate an affiliation, additional documentation will be required (see below).
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Please select your registration option: *
Note: The options below only provide event registration for one person. Additional attendees will need to pay the standard institute fee ($55).
Required
Name(s) of any supporting staff that will be in attendance.
Other Considerations: Please let us know if your booth set-up requires any special accommodations like accessibility or electricity. This is considered a special request and may not be available due to exhibitor space limitations.
Before you click submit, please print this form and mail it with your non-refundable registration fee (based on the selected registration option and any additional attendees) with the code 0801-435600-160048971000 written on your check. Your registration is not complete unless the online form, the printed form, and a check are received by OCS.
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