Exhibitors & Vendors Fee: Non-Profit Exhibitor: $250.00 (Proof of 501(c)(3) status is required) For-Profit Exhibitor & Vendor (Expo Marketplace): $500.00 Non-Profit Exhibitors are limited to the distribution of informational material & marketing collateral. Non-Profit Exhibitors are not permitted to sell products and or merchandise or collect any donations from event participants. For-Profit Exhibitors & Vendors will be allowed to sell products and/or merchandise. Vendor booth spaces will be located within the Expo’s Marketplace area. Items Provided to Exhibitors and Vendors: One (1) Table and Two (2) Chairs. No Electricity Will Be Provided. 10x10 Tents are available for reservation with an additional charge. Note: All Expo pre-registration forms submitted are subject to review and approval. Registration is fully complete when you receive confirmation of approval AND payment for booth space has been received. Pre-Registration Form:Expo Participation Type:*Non-Profit Exhibitor ($250 - Proof of 501(c)(3) status is required)For-Profit Exhibitor & Vendor (Expo Marketplace) - ($500)Please upload proof of your 501(c)(3) status here*Name of Business or Organization*Contact's Name* First Last Contact's Job Title*Contact's Email Address* Contact's Phone Number*Business or Organization's Phone Number*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Please provide a brief description of the programs, services and or products that you will be featuring at the Expo that benefit individuals with autism and special needs* Approval Criteria For Expo Participation* Please review the approval criteria listed below. Check the box stating that you have read and understand the listed criteria.Criteria for Autism/Special Needs services - Service is not considered potentially harmful and or controversial - Service is a standard practice in the field Criteria for Products - Only products that are commonly used by families in the special needs community will be permitted - Products must be FDA approved, non-experimental Acknowledgement* Yes, I have read and understand the criteria established for participation in this expo event. Note: Once your application is approved, you will be notified via email and provided with a payment link to execute payment for your booth space. Payment is due 10 days from receipt of your Expo Approval/Confirmation email. All Registrations and Payments must be complete by Wednesday, January 10, 2018. This iframe contains the logic required to handle Ajax powered Gravity Forms.