Vision Quest Conference

200-208 Edmonton Street
Winnipeg, MB  R3C 1R7
Phone: 204-942-5049 |  Fax: 204-237-8991 |  Toll Free: 1-800-557-8242

Exhibitor Registration Form

Organization Information

Type of product or service*
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 Booths* Booth Preferences 1. 2. 3.

Payment Information

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

Payment Type

Credit Card Information

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

* - Required Field