2017 Innovations Conf

Company Name

Website:

Contact Person Name

Address

Phone Number

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Primary Booth Representative:

Name of Person to be registered for the conference:

Description of the Products or Services you will be exhibiting at the Conference for inclusion in the program (50 words or less):

One conference registration is included with the Exhibitor Registration fee. If an additional member of your organization wishes to attend the conference, an additional registration can be purchased at https://kempecenter.regfox.com/2017-conference-on-...

Exhibitor Registration

Non-Profit Organization ($500.00)
Registration Fee plus shipping and receiving charges
For-Profit Organization ($650.00)
Registration Fee plus shipping and receiving charges

Total

$0.00

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Name

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