Wufoo
Vendor Registration
2024 PCR and NWR WOCN Conference
Name - Rep 1
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Last
Name - Rep 2
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Last
Email
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Company Name (exactly as you want it listed on marketing materials)
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Address
Street Address
Address Line 2
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Phone Number
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Additional Representatives (2 Included in Price)
*
Select one
0 (2 total)
1 (3 Total)- Please include name in additional comments below
2 (4 Total) - Please include names in additional comments below
3 (5 Total) - Please include names in additional comments below
4 (6 Total) - Please include names in additional comments below
5 (6 Total) - Please include names in additional comments below
Sponsor level
Select one
Diamond
Gold
Silver
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Additional Comments
I have received and read the Vendor Invitation Letter and agree to these terms.
*
Yes
Are you planning to attend the Youth Rally dinner and auction on Thursday evening, Aug 1st?
Yes
No
Not sure yet
Terms and conditions
By attending this Event, you and your guests voluntarily assume all risks related to exposure to COVID-19 and all other risks from participating in the Event, and you (and they) hereby release WOCN and its representatives from any responsibility or liability for any illness, disability, or injury (including death) or other damages you may sustain, whether due to COVID-19 or any other cause in connection with participating in the Event.
In addition to complying with all other Event rules regarding this meeting, you agree to comply with all COVID-related health and safety protocols that may be implemented during the Event.
Regardless of vaccination or test result status, you acknowledge and agree that you will not attend the Event or enter the venue if at that time you (i) are experiencing symptoms of COVID-19 (including but not limited to a cough, shortness of breath, fever or any other symptom associated with COVID-19), (ii) have a confirmed or suspected case of COVID-19, or (iii) have knowledge that in the 14 days prior to the Event you have come into contact with a person who has been confirmed to have or suspected of having COVID-19. You further acknowledge and agree that you will immediately cease participation in the Event if at any time during the Event you begin experiencing symptoms of COVID-19, test positive for COVID-19, or believe you are no longer in proper physical condition to participate in the Event.
You acknowledge and agree that WOCN and/or the meeting venue may remove you from the Event (without any compensation to you) if you fail to cooperate in any way.
*
I agree to the terms and conditions
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