Quincy Conference 2017 Vendor Registration

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Thank you for your interest in Quincy Conference 2017. Your active participation is greatly appreciated! Please complete the form to register to become a vendor at Quincy Conference 2017 on Thursday, October 5th and Friday, October 6th.
Once you submit the form, you will receive more information from the conference co-directors. Vendor registration deadline is September 22nd, 2017, payment must be received by September 29th, 2017.
If you have any questions, please email qcyconference@gmail.com or call 217-223-8700 Ext: 2262.

Vendor Information

Company/Organization *

Brief Description of Company/Organization *

Contact Information

Contact Person *

Role/Position *

Email Address *

Phone Number *

Vendor Request(s)

Dates *

Vendor Booth (8 ft. table) on Thursday, October 5th, 2017 ($200)

Vendor Booth (8 ft. table) on Friday, October 6th, 2017 ($200)

Vendor Booth (8 ft. table) on Thursday, October 5th AND Friday, October 6th ($300)

Multiple Vendor Booths ($200 per 8 ft. table per day). Please include request below.

Required

Multiple Vendor Booths Request(s)

Is this your first time at Quincy Conference? *

Yes

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