Cahokia Heights Chamber of Commerce

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Cahokia Heights Chamber of Commerce

Community Resources Conference – Vendor Registration

Please complete the form below filling all “required” spaces. When you’re completed – click on the SUBMIT button at the end of the form to submit.

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Company Name *

Vendor Contact Person Name *

First

Last

Company Address *

Phone/mobile numbers *

Please give us the best phone numbers where you can be reached.

Email *

Confirm Email

Will you need 120VAC electrical power at your booth? *

You are required to bring your own extension cord with ground conductor (3-wire/pronged).

Would you like to be a sponsor? *

Bronze - $50.00 (name on event bags)
Silver - $100.00 (logo/name on event bags)
Gold - $250.00 (logo/name on event bags; 1/4 page ad on event hand-out
No, thank you.

Would you like to make an educational/informational presentation about the services you provide? A Q&A time will be offered at the end of your presentation. *

Presentation topic?

Please provide a short explanation of the content of your presentation.

Name of person(s) who will be speaking/presenting.

First

Last

Second/suppport speaker:

First

Last

Will you need projection and have a PC/PowerPoint presentation?

Comments or Questions