Clone of 2025 Conference Vendor Registration

2026 Conference Vendor Registration

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Contact Person's Full Name*

First NameLast Name
Name of vendor representative attending

First NameLast Name
Business Name*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Phone Number*
Mobile Number for onsite Rep (for in case of emergency or to share pertinent information)

Area CodePhone Number
Contact Person E-mail*
Email for vendor representative
example@example.com
Please list any vendor representatives attending in addition to that listed above.
Name of product/service to be displayed*
Description of product(s)/service(s) being displayed.
Please include any oversized items or displays
Check box if you will require electricity for your display. Please bring your own extension cord if you require electricity. IT support is not available.

Yes, I require electricity and will bring my own extension cord
Will you be offering any prize/giveaways to participants?
Payment

Conference vendor fee is $500.00 per display. The fee covers attendance for up to two vendor representatives and a six-foot display table with two chairs for the vendor fair; coffee, tea, breakfast, snacks and lunch. An additioanal $50.00 will be charged for each representative over the standard two vendors to help defray the cost of meals.
My Products*
prevnext( X )
Vendor booth fee$500.00
Includes one six-foot table with 2 chairs, coffee, tea, breakfast, snacks, and lunch.

Additional vendor representative (if over 2 reps)$50.00
If more than 2 vendors will be present, the cost is $50 per additional vendor.

Quantity

Total $0.00
Payment

Having a PayPal account is not required. You may check out as a Guest. If another form of payment is necessary please contact apicnm_admin@apicnm-32.org to request an invoiced registration form.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

2026 Conference Vendor Registration

Payment