Exhibitor Page - American Council of the Blind of Virginia

First and Last name or Business Name *

Contact person if different from above

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Primary Phone *

Text Phone

Email Address *

Confirm Email Address *

Exhibitor Table *I will be paying for a whole table $80.I will share a table $40.I am a student paying for a whole table $40.I am a student sharing a table $20.

If you know who you will be sharing a table with, let us know here:

If you won't be needing an electrical outlet, let us know here:I won’t be needing electrical outlet

At your exhibit, will you have: *Information to shareProduct to exhibitProduct to sell

Please tell us a little about your exhibit. *

Payment method for exhibitor fee, I will: *use credit/debit or PayPal payment button on confirmation page.mail a check to address on confirmation page.use Zelle (see confirmation page)call over phone to RoseAnn (number on confirmation page).