Vendor Registration NH 2010

VCCS New Horizons 2010: Discover What's Next -
Vendor Registration Form

Name of Vendor (required)*

Name of Company (required) *

Vendor or Company Address (required for correspondence) *

Vendor or Company Address for Program Listing IF different from above

Vendor/Business Phone (required) *

Email Address (required) *

Re-enter Email Address*

Sponsorship Levels - Please read carefully.

Please choose the sponsorship level that best pertains to you. (required) *
Bronze level sponsorship
($800 before 2/12/10, $1,100 thereafter)

Silver level sponsorship
($1,200 before 2/12/10, $1,500 thereafter)

Gold level sponsorship
($1,500 before 2/12/10, $1,800 thereafter)

Platinum level sponsorship
($2000 before 2/12/10, $2500 thereafter)

Corporate level sponsorship
($4,000 before 2/12/10, $5,000 thereafter)

Concurrent Session Choices

Bronze Level: If you have chosen the Bronze Level sponsorship there is no concurrent session available.

Silver Level: If you have chosen the Silver Level sponsorship, we will need your time and date preference for your one concurrent session. We will do our best to honor your first preference. However, we will need a second time and date in case of conflict.

My date and time preference for my one concurrent silver level session is:

In the event of a conflict, my next date and time preference for my one concurrent silver level session is:

Gold Level: If you have chosen the Gold Level of sponsorship you have two concurrent sessions. We will need your date/time preference for each session. We will do our best to honor your first preferences. However, we will need a second date/time preferences in case of conflict.

My date and time for my first concurrent gold level session is:

In the event of conflict, my next date and time for my first concurrent gold level session is:

My date and time preference for my second concurrent gold level session is:

In the event of a conflict, my next date and time preference for my second concurrent gold level session is:

Platinum Level: If you have chosen the Platinum Level sponsorship you have two concurrent sessions. We will need your date and time preference for your concurrent sessions. We will do our best to honro your first preferences. However, we will need second date and time preferences in case of conflict.

My date and time for my first concurrent platinum level session is:

In the event of a conflict, my next date and time for my first concurrent platinum level session is:

My date and time for my second concurrent platinum level session is:

In the event of a conflict, my next date and time for my second concurrent platinum level session is :

Corporate Co-Sponsorship: If you have chose Corporate Co-Sponsorship, please contact Nancy Harris at (804) 819-4687 for your complete selections.

My top three vendor table location preferences are: (See Vendor Table Layout schematic, posted on right column)

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