Broker Registration Information Form

(Please note, this form is only for Brokerage Registration.)

Please fill out the following information about your brokerage.
Please note that fields marked with an asterisk (*) are required.

Broker Information for Registration Contact   Broker Information for Suppliers' Night Program/Directory
Use Registration Contact Info for the Program/Directory
Company Name *   Company Name
Address *   Address
City, State, Zip *   City, State, Zip
Contact Name *   Contact Name
Phone Number *   Phone Number
Fax Number   Fax Number
Email Address *   Email Address
Website   Website


For Brokers wishing to block off large groups of tables/booths, please provide your first second and third choice table/booth selections.
You can view the current Floorplan and Exhibitor Listing by selecting the links listed below.
Please view the Listing to make sure that you are selecting tables/booths that are still available.

Floorplan     Exhibitor Listing

The Floorplan shows the locations of each table/booth and the numbers associated to each table/booth.
The Exhibitor Listing shows which spaces are still available as well as which exhibitors are currently assigned to each table/booth.

Enter ALL of your requested Booth numbers with commas or spaces separating them in the space below.
Once the booths are assigned to your company, you will be sent the link to register each
individual booth with each Exhibitor's specific information.

First Choice(s):
Second Choice(s):
Third Choice(s):