Vendors that have already signed up to exhibit at a 2021 NCMPR district conference may either register an additional representative for a fee of $300 and/or add on to be a virtual exhibitor for a fee of $100. To secure your spot at the conference, complete this form and process payment by credit card prior to the conference date. 


2021 Exhibitor Representative Form

Please select an option:

SECTION 1 -- Primary Contact

This individual is the primary point of contact and will be contacted as needed for additional details. 

SECTION 2 -- Additional Company Rep 

Please indicate the company rep that will attend the conference in-person

SECTION 3 -- Additional Virtual Exhibitor Company Rep 

Please indicate the company rep that will attend the conference virtually. 

Choose District

Note: To attend more than one district, complete a separate form for each district you wish to attend.

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