SPDDS Midwinter Vendor Registration

Company/Organization Name (To be displayed)*
Name of Person Completing Form*
First Last
Title*
Email*
Phone*
Fax
Website
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Representatives at Booth*
Name for name badge
First Last
Name for name badge
First Last
Name for name badge
First Last
Exhibitor Table
Price:
Number of Exhibitor Tables*
Electrical Outlet?
- Yes
- No
Would you like to donate an item for a door prize?
- Yes
- No
Please describe the item:
Space Choice #1
Exhibit space will include one six-foot skirted table and your company name attached to the front of the table. Please refer to this link for the floor plan (to indicate your preference on space): http://spdds.org/wp-content/uploads/2020-Floorplan.pdf
Space Choice #2
Space Choice #3
Total
$0.00
By completing this form you are agreeing to the Contract Rules and Regulations located at the link below.*
Contract Rules and Regulations: http://spdds.org/wp-content/uploads/2020-Exhibitor-Contract-Rules-and-Regulations.pdf
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name