Special Appearance / Celebrity Appearance Form

Company Information

Exhibitor Company Name *

Exhibitor Primary Contact *

Title

Exhibitor PR Contact

Address (200 chars left)

City

State/Province

Postal Code

Country

Phone

Fax

Email *

Website

Event Information

Description of Event

Name of Celebrity (if applicable)

Time and Location

Do you want your Event Publicized? Please Select Yes No

Is it Invitation Only? Please Select Yes No

Additional Information