2023 NC SHAPE Convention Exhibition

Single Booth Registered by 10/1/2023 $600.00

Exhibiting Company, Business or School Information

Name of Exhibiting Company, Business or School

Your Information

We have found that the person submitting exhibitor information is often an administrative assistant or someone other than the person that will be attending the NC SHAPE Convention. That is why we ask for your name and contact information and then ask for the names and contact information of the exhibitors.

Submitter's Name

Submitter's Email Address

Submitter's Phone Number

	Yes	No
Do you need electricity? (Additional fees to be determined)
Do you need internet access? (Additional fees to be determined)
Will you provide Tote Bag Inserts? The bag stuffing fee is $100.
Will you be submitting a breakout session? If so, submit your session here.

Please note: A single booth guarantees one breakout slot. A double booth guarantees two breakouts.

Representatives Contact Information
Enter the contact information for the people that will be attending the convention.

Representative #1 - Full Name

Representative #1 - Email

Representative #1 - Cell Phone

Representative #2 - Full Name

Representative #2 - Email

Representative #2 - Cell Phone

Office use only:

2023 NC SHAPE Convention Exhibition

Exhibiting Company, Business or School Information

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