2023 Early Intervention and Early Childhood Special Education Summit  Vendor and Exhibitors                                                                                                                                                                                                                                    
By filling out this form and submitting it, you are aware of and agree to making your presentation fully accessible before submitting it. You are also committing to and will be prepared to utilize the Zoom virtual platform.  **Please return by November 7, 2022** Save the Date for being trained on CVENT and building your exhibitor pages on February 7, 2023 from 9am-11am.
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Email *
Organization Name of Vendor/Exhibitor *
Primary Point of Contact for Vendor/Exhibitor *
Primary Contact's Title *
Primary Contact's Email address *
Primary Contact's Phone *
Secondary Contact for Vendor/Exhibitor
Secondary Contact's Email address
Description of products/services being marketed during presentation: *
Targeted Audience: *
Required
To which age group does your presentation apply? (Check all that apply) *
Required
Which of the following areas would your product/service support? (Check all that apply) *
Required
What is your primary plan to engage participants in a virtual platform? *
 Would you be willing to come to two exhibitor sessions? (Tentatively scheduled right now for March 2 AND 3rd at 1:30pm for 30 minutes) *
A copy of your responses will be emailed to the address you provided.
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