Mid South Card Con Registration Form

Vendor Registration

November 22, 2025 - Biloxi Civic Center - 578 Howard Ave - Biloxi MS 39530
Your Full Name*

First NameLast Name
Your E-mail Address*
Your Phone Number*

Area CodePhone Number
Your Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Information (optional)

First NameLast Name
Emergency Contact Phone Number (optional)

Area CodePhone Number

Select you desired tables and quantity. Note: choose either wall or floor, not both:*

8' floor table$80

8' vendor table

Quantity
Item subtotal:$0.00

I need Electricity$15

Check if you want electricity at your booth

34 inch display case rental$20

Lockable rental display case (subject to availability)

Quantity
Item subtotal:$0.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Vendor Registration