Vision Quest Conference

200-208 Edmonton Street
Winnipeg, MB  R3C 1R7
Phone: 204-942-5049 |  Fax: 204-231-8321 |  Toll Free: 1-800-557-8242
Email: admin@vqconference.com

Exhibitor Registration Form

Organization Information


Company*
Website*
Mailing Address*
City/Town* Province*
Postal Code*
 
 

 Primary Contact Person

Only the primary contact person will receive receipts and exhibitor registration details.
First Name* Last Name*
Phone* Fax*
Email* Confirm Email*
 
 

 Exhibitor Options

Exhibit Opportunities* # of Banquet Tickets
@ $75 each
# of Booths* Booth Preferences 1. 2. 3.

  Sub-Total:$
  GST:$
  Total:$
GST not applicable

Payment Information


All registered exhibitors must be paid in full prior to the conference.

Payment Type

Credit Card Information

VISA
Name On Credit Card
MasterCard Credit Card Number No spaces, numbers only
AMEX Credit Card Expiry
Cheque

* - Required Field