BMEN Conference Vendor Registration
Please complete this form to register as a vendor for the Black Male Excellence Network Conference at Virginia Tech February 23rd, 2019. Registration fee is $100 and will need to be paid by check or money order, made out to Virginia Tech and please indicate The Student Success Center in the Memo line. Checks can be mailed to:

The Student Success Center (0276)
110 Femoyer Hall
280 Stanger Street
Blacksburg, VA 24061

or presented the day of the event.

Email address *
The deadline to register is February 19th. If you have questions please contact Yolanda Avent at
Vendor/Business Name
Your answer
Contact Person Name/Owner/Representative
Your answer
Vendor Address
Your answer
Phone Number
Your answer
Day of Contact Phone Number
Your answer
Your answer
Please describe your business/products? Feel free to include a website or social media accounts.
Your answer
How many chairs will you need at your table
A copy of your responses will be emailed to the address you provided.
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