Vendor Registration Online Registration 2023 Vendor Registration Company Information Company * Name of Business, Company or Organization Company Address * Company Address Street Address Street Address Address Line 2 Address Line 2 City City State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State Zip Code Zip Code Lead Vendor Information Lead Vendor * First Name Lead Vendor's Last Name * Last Name Lead Vendor's Email Address * Lead Vendor's Phone Number * Additional Vendor Information Additional Vendor * First Name Additional Vendor's Last Name * Last Name Additional Vendor's Email Address * Additional Vendor's Phone Number * Display Booths Please refer to our VENDOR FLOOR PLAN and list your 5 choices for you preferred booth location. Booths will be assigned on a first come, first serve basis. Exhibitor registration includes power for each booth and two booth attendees. Single booth dimensions are 10' x 10'. Electric is included. Single Booth 10x10 = $700.00 (includes 2 people) Double Booth 10x20 = $1,100.00 (includes 2 people) How many display booths do you require? * 1 2 First Choice * Second Choice * Third Choice * Fourth Choice * Fifth Choice * Bluegrass Chapter of the International Society of Explosives Engineers This year's registration will include membership for the Bluegrass Chapter of the International Society of Explosives Engineers for 2024. This membership will apply for each booth attendee. Payment Information PayPal is our online payment gateway. You do NOT need a PayPal account to complete registration payment. Simply select the option Pay with Debit or Credit Card during checkout. Grand Total Captcha If you are human, leave this field blank. Submit Registration
