JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
XSITE 2024 Tallahassee Supplier Registration
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Designations
Your answer
Company/Organization
*
Your answer
Email Address
*
Your answer
Cell Phone
*
Your answer
Office Telephone
Your answer
Address 1
*
Your answer
Address 2
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
What type of product or services do you offer? (check all that apply)
*
Hotel/Resort
CVB
Convention Center
Cruise Ship
College/University
Other:
Required
How many attendees can you accommodate?
*
Up to 100
101-200
201-300
301-400
401+
Where are you located or available to conduct business in the state of Florida? (check all that apply)
Northwest
Northeast
Central
Southwest
Southeast
Location type?
Resort
Downtown
Airport
Suburban
Convention Center
Cruise Ship
College/University
CVB
Other:
Clear selection
Who referred you to XSITE?
Your answer
Pursuant to the Americans with Disabilities Act, do you require specific aids or services? If yes, please provide.
Your answer
If you have any special dietary needs or restrictions please list below? XSITE will endeavor to accommodate your dietary needs but cannot guarantee all needs can be met.
Your answer
Payment Options - $1,650 includes Appointments. If paying
by check, make payable to XSITE, 545 22nd Ave N, St. Petersburg, FL 33704
If by credit card, call Richard Miseyko at 727.460.2794
*
Check
Credit Card
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of XSITE.
Report Abuse
Forms
