EmailMe Form - 2013 COC Vendor Theater Application

Please select the appropriate rate. *

$500

Payment will only be collected upon confirmation of session.

Pre-Conference Vendor Theater Contact

Name *

First Last

Company/Organization *

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

I am also the onsite contact.

Please provide cell phone number only, below.

Onsite Vendor Theater

If different from above.

Name

First Last

Company/Organization

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Cell Phone *

### - ### - ####

Email

Vendor Theater Information

Proposed Title *

Proposed Speaker (Name, Title, Organization) *

Proposed Session Description/Topic *

Date Preference

Thursday, November 14

Friday, November 15

Time Preference (SELECT TWO) *

12:10 - 12:25 PM

12:30 - 12:45 PM

12:50 - 1:05 PM

1:10 - 1:25 PM

Please provide your top two preferences. NLC will work hard to honor your request, but cannot guarantee your preference.

Terms and Conditions

I am aware, understand and accept that: *

NLC will notify all applicants within one week if selected. If selected, I will remit the appropriate fee within 30 days of the selection date or risk forfeiting the opportunity.

NLC does not endorse any company choosing to participate in the Vendor Theater.

Once selected, NLC will offer a brief (less than one week) review of the title, description and speaker information for the session. Corrections to the title or description and speaker changes can be submitted after this time, but are not guaranteed.

NLC cannot guarantee delegate attendance. NLC cannot be held liable for any costs incurred for “no-show” delegates.

NLC reserves the right to photograph and video workshop sessions. I grant NLC the right to use photographs and video of its presentation.

I am responsible for ensuring that my company is in compliance with the convention center fire and safety regulations. NLC has advised me to contact the Convention Center Service Manager for the purpose of ascertaining applicable regulations.

By pressing "SUBMIT" below, you acknowledge that you have read and agree to the terms and conditions as listed.