Vendor Registration for Vendor and Sim Expo

Contact Information
Company Name*
Contact Person*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email

Please provide a method to contact you. A confirmation email will be sent. Duplicate email addresses are not accepted.
Phone*
List the names of the two company representatives attending.
Representative*
First Last
Phone
Please indicate a number that we may reach you during the expo if we need to.
Representative
First Last
Phone
Please indicate a number that we may reach you during the expo if we need to.

Vendor Registration
Vendor Registration includes:

1. 4 foot table

2. 2 chairs

3. one electrical outlet (110 volts) if requested

4. continental breakfast for 2 representatives

5.Wireless internet.
Will you need electricity?*
- Yes
- No
Vendor Space Quantity*
Price: $500.00
Space reservation cost includes one table and two vendor representatives. If you need more space, you can increase your table quantity.
Corporate Sponsor Code

If you are a 2022-23 Corporate Sponsor, please enter the code you were given so that your booth space will be at no cost.
An additional table comes with space for 2 more representatives. Please provide their names in the space below.
Representative
First Last
Representative
First Last
Total
$0.00
Payment Options
When you click Payment, you will be directed to the PayPal site to complete your transaction. Payment can be made using a Credit Card or a PayPal account.
Check payment Please make checks payable to CTSRC. Checks must be received by Sept 26th.
Checks must be mailed to:

CTSRC

c/o Maureen Parmelee

90 Creamery Rd

Durham, CT 06422
Name
This field is for validation purposes and should be left unchanged.

Contact Information