2018 ESC-2 Technology Conference: Vendor Registration
The 2018 Technology Conference: Learning TransformED is scheduled for Tuesday, November 6.
> The deadline to submit a breakout session proposal (optional) is July 31. (NOW CLOSED)
> REGISTRATION and PAYMENT DEADLINE is October 15, 2018.
> A $50.00 late fee will be applied after registration deadline. Payment must be postmarked by October 15, 2018.
> Accepted payments: Credit/Debit, Paypal, Check
Email address *
Vendor Information
Note: Enter your responses exactly as you would like them to appear, either digitally or in print, on conference materials.
Company Name *
Your answer
Company Primary Contact *
First and Last Name
Your answer
Primary Contact Title *
Your answer
Company Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Contact Phone Number *
(including area code)
Your answer
Alternate Email Address
Your answer
Company Website (URL)
Your answer
Type of Company/Industry *
Brief Company Description *
approximately 250 words or less
Your answer
Complimentary Exhibitor Badges
First and Last Name(s)
Your answer
Your answer
Your answer
Your answer
Vendor agrees to provide door prize for participant drawings during the event. *
You may bring this to registration or mail prior to the event.
Booth Information
Vendors must provide their own extension cords, power strips, and/or surge protectors. If you are bringing in large equipment and/or a large display, we encourage you to register for a 12 ft.Tabletop Exhibit. Booth assignments are considered based on payment receipt date and the size of the booth selected.
Indicate the type of equipment or displays needed: *
Required
Select the appropriate size booth for your equipment and displays *
Required
If sharing a booth with another company, the vendor submitting the registration form will be responsible for full payment.
NOTE: Late registration fee of $50.00 will be applied to total after October 15, 2018
Name of company you are sharing booth with (if applicable).
Your answer
Vendor Sponsorship
Our company agrees to provide the following through a vendor sponsorship for the Education Service Center, Region 2 Technology Conference on November 6, 2018. I am an authorized representative that can commit my company to providing these items. Education Service Center, Region 2 will list sponsor level membership in the digital conference agenda, conference website, and on custom conference posters during the event.

DEADLINE FOR PAYMENT SUBMISSION IS OCTOBER 15, 2018. NO REFUNDS WILL BE ISSUED AFTER OCTOBER 15, 2018.

PLATINUM
GOLD
SILVER
Item Sponsorship
Thank you!
A copy of your responses will be emailed to the address you provided.
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