Street (Mailing) Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Name (for follow up & registration details) *

First Name

Last Name

Phone

(###)

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I/We would like to reserve the following booth space for the 2025 BOSS SUMMIT: *

$75 - Standard Space - includes company table, and listing in the program

$100 - Premiere Space - includes priority placement, company table, listing in program, and 1 event T-shirt

VENDOR BOOTH OPTIONS *

*Note: The addition of a second table is $75 extra. Space is limited! Reserve early!

I would like to send a company representative to one day of the event

I would like to send a company representative to both days of the event

I would like an extra table to display my goods and services*

My table needs to be positioned next to an electrical outlet

Representative #1 Name

First Name

Last Name

Phone

(###)

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Representative #2 Name

First Name

Last Name

Phone

(###)

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