Vendor Registration

ACTE

515 King Street,
Ste. 330
Alexandria, VA 22314
USA

Tel:1-703-683-5322
Fax:1-703-683-2720

Conference Registration Form for ACTE XII Technology Experience Technology Vendors: You must complete both the Vendor Registration and the Conference Registration to avoid processing delays.
Vendor Representatives: Each vendor is allowed a maximum of two people per kiosk included in the Vendor Registration of $5,000 (USD)

Vendor Representative Registration Information (1)
Prefix	Mr. Mrs. Ms.
Last Name
First Name
Middle Initial
Badge Full Name
Company
Title
Address
Address*
City
State/Province
Zip/Postal Code
Country
Telephone
Facsimile*
E-Mail

Vendor Representative Registration Information (2) OPTIONAL
Prefix*	Mr. Mrs. Ms.
Last Name*
First Name*
Middle Initial*
Badge Full Name*
Company*
Title*
Address*
Address*
City*
State/Province*
Zip/Postal Code*
Country*
Telephone*
Facsimile*
E-Mail*

Registration Fees Individual Registration Fees are quoted in US dollars. **Technology Experience vendors may participate in all official social events, meal functions, keynote presentations and general sessioins.

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