Name of Vendor * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Person * Email * Phone * (###) ### #### Representative #1 (Full Name) * Representative #2 (Full Name) * Brief description of item(s) to be sold: * Please list all items to be sold (if you need additional space, please attach a separate list of all items): Checkbox * By submitting this application, I acknowledge receipt, review, and agreement with the Rules and Regulations set forth by the ABIDE Conference. I understand that if I should violate any of the rules or regulations, ABIDE Conference staff may restrict or dismiss me from the conference. Applicant Approval * By typing your name in this box, you are agreeing to apply as an exhibitor for the ABIDE Conference. Thank you!