Senator Langerholc's Alternatives to College Expo - Exhibitor Registration

Phone

This field is for validation purposes and should be left unchanged.

Organization Name(Required)

Exhibitor's Name(Required)

Organization Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number(Required)

Email (Used for Confirmation)(Required)

Enter Email Confirm Email

Check One - This organization is a non-profit (501c3) or governmental agency(Required)

All registered exhibitors must provide information on their accreditation(s):(Required)

Please keep responses to 350 characters or less

Exhibitor Space

The information below will help us determine your needs for your space.

If you require more than one CHAIR that is provided, how many TOTAL chairs do you need?

Please tell us how many chairs you need for your exhibit, 1 is provided, if you need 4, please tell us 4.

Do you need a tablecloth for your exhibit table?(Required)

Check One - My exhibit, when placed upon a table, is higher than 3 feet.(Required)

Check One - I/We will require Electric. (Electric is very limited)(Required)

Will you be providing a demo?(Required)

Please provide a description of the demo.(Required)