Quincy Conference 2019 Vendor Registration

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Thank you for your interest in Quincy Conference 2019. Your active participation is greatly appreciated! Please complete the form to register to become a vendor at Quincy Conference 2019 on Thursday, October 10th and Friday, October 11th.
Once you submit the form, you will receive more information from the conference directors. Vendor registration deadline is September 20th, 2019, payment must be received by September 27th, 2019.
If you have any questions, please email qcyconference@gmail.com or call 217-277-2080.

Vendor Information

Company/Organization *

Brief Description of Company/Organization *

Contact Information

Contact Person *

Role/Position *

Mailing Address *

Email Address *

Phone Number *

Vendor Request(s)

Dates *

Vendor Booth (8 ft. table) on Thursday, October 10th, 2019 ($200)

Vendor Booth (8 ft. table) on Friday, October 11th, 2019 ($200)

Vendor Booth Both Thursday, October 10th and October 11th, 2019 ($300)

Multiple Vendor Booths ($200 per 8 ft. table per day). Please include request below.

Required

Multiple Vendor Booths Request(s)

Is this your first time at Quincy Conference? *

Yes

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