WCB 2009 Vendor Form
Last Name First Name *
Please enter your name here
Company Name *
Please enter the name of your company
Name of Exhibitors (if different)
Street Address *
Address line 2
City, State, ZIP Code *
Phone Number *
Email Address *
Enter your company email address here
Number of tables *
How many tables will you require? 1 for $25 or 2 for $50
1 for $25
2 for $50
Number of Chairs *
How many chairs will you require?
1
2
3
4
n
Number of AC Outlets *
How many AC outlets will you require? You are responsible for all power cords and the WCB can not guarantee outlets.
Please provide a one-sentence description of your product/service. This information will be included in the list of exhibitors given to convention attendees: *