2023 Build My Future Exhibitor Registration Form

Company Name

Contact Name

Company Mailing Address

Address Line 1

Address Line 2

City

Zip/Postal Code

Email Address

Phone Number

EXHIBIT INFORMATION

Indoor and Outdoor Exhibit Booth Fee is $250 for Lee BIA and ASA Members and Nonprofit Entities/ $350 for Future Members. Outdoor space is available for exhibitors with large equipment and machinery only. All spaces include a 6-ft. table, 2 chairs, and 2 meal tickets. Please Note: To participate, you will be required to show proof of insurance to the Lee BIA.

Please select one

Inside Space Outside Space

Will you need electrical? (JetBlue Park offers 110 watts)

Yes No

If you need electric, what are your electrical needs?

Will you have a hands-on activity?

Yes No

Space Needed for Exhibit (Standard is 8x8)

Description of Hands-On Activity

Lunch Tickets - 2 meal tickets are included in your registration. Please specify how many additional you will need. Note: each additional meal ticket will cost $10

Email Address for Invoice Delivery

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239.936.5525

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239.936.5525