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Connect & Emerge Sponsor & Exhibitor Registration
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* Indicates required question
Business Name
*
Your answer
Contact Person
*
Your answer
Email Address(es) (include all who need to be copied on exhibitor emails, separate multiple email addresses with commas)
*
Your answer
Phone
*
Your answer
Mailing Address (include city, state, and zip)
*
Your answer
Website
Your answer
Facebook Page (if applicable)
Your answer
Products or services you are promoting at the Conference
*
Your answer
Level of Participation
*
Gold Sponsor $2000
Silver Sponsor $1000
Bronze Sponsor $500
Exhibitor $150
Other:
TOTAL AMOUNT DUE:
*
Your answer
Payment will be made by:
*
Check (made to Emerge Events and mailed to PO Box 18851, Hattiesburg, MS 39404.)
Credit Card (pay at
www.emergeevents.com/exhibitors
)
Other:
Any special requests or needs?
Your answer
Thank you for joining us for the Connect & Emerge Conference!
Contact Jennifer Clark with any questions you may have: Jennifer@EmergeEvents.com or 601-270--2756.
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