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Private Contact Info

*First name
*Last name
Title
*e-Mail
Private Phone #s
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Public Contact Info

*Organization
Contact Name
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Department
Public Phone #
Website
Facebook Link
Twitter Link
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Territory
*Products & Services
Enter up to 25 words of green and wellness products, services and programs for publication (use proper capitalization and punctuation).
Green/Wellness Relevance
Enter up to 25 words of your products, services and programs relevance to green and wellness - for publication (use proper capitalization and punctuation).
Free Samples & Giveaways
Enter free samples and items to give away at the show
Show Specials
Enter any specials you are offering during the show only
Door Prize
The door prize should be valued $35+. It will be promoted through pre-event promotions including a Facebook contest. Prizes are picked up at your exhibit only. Enter the door prize information in the format:
Prize name ($ value)
Short description
*Amount ($USD)
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