IATDP VENDOR FORM
Event Date: October 20-22, 2017
Event Times: 9:00am - 4:00pm each day
Event Address: Embassy Suites Hotel downtown, Indianapolis, IN
Contact: Dr. Carolyn Gentle-Genitty at cgentleg@iupui.edu
Email address
Organization's Name
Your answer
Name of Primary Contact
Your answer
Primary Contact's Phone number
Your answer
Description of booth or services
Required
What days will you attend?
Required
As the vendor I understand the cost to display and sell is $200 and I would have to pay to secure my spot no later than September 1st, 2017
Required
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