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About Us
Electronic Registration Form
* Fields marked with an asterisk are required!
Exhibit Sponsor/Organization:*
 
Topic of Exhibit:*
 
Contact Information:*
Name
Address
City
State
Zip Code
Phone
Email
 
A detailed description of your exhibit, emphasizing how it is related to the Health or Safety, is REQUIRED to reserve booth space. Registrations may be returned if there is not enough information to determine the purpose of the booth. One exhibit per form.*
 
Booth options (select 1 Option):*
10’ x 10’ booth includes 1 skirted table\2 chairs
10’ x 20’ booth includes 2 skirted tables\3 chairs
6' x 6' round table (this will take up the majority of a 10’ x 10’ booth)
Explain in detail any special needs or consideration for locating your booth (insert text box).
 
Interested in presenting a 15-30 minute demonstration on the main stage?
Yes
No
Explain in detail what you would like to present and how much time you will need:
 
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(Case Sensitive)

 
Literature, give-aways and brochures MUST be approved prior to distribution.
Your booth is NOT confirmed until you receive our registration confirmation letter.
If you have not received confirmation within 10 days of submitting your registration
request please contact Christine Jeskey, EXPO 2019 Exhibitor Lead, at 509-372-3692.