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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