Reserve a Booth

Exhibitor Level(Required)

Non-Profit ($100)

Business ($350)

Artists with Disabilities ($25)

Will you need electricity?(Required)

Yes

Electricity is available from the Overland Park Convention Center. This is a separate cost of the exhibitor fee. Please complete this form first and then follow the link for electricity. To sign up for electricity, please CLICK HERE.

Would you like to purchase extra space? ($150)(Required)

Yes

Name

First Last

Company Name

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Additional Notes:

How will you be paying?(Required)

Online with Credit Card

Check

We take all credit card payments via PayPal. Once you submit this form a PayPal window will appear. If no window appears please email us at mwabilitysummit@gmail.com

Please send all checks to: P.O. Box 8826 Kansas City, Missouri 64114

Payable to: GKCSCIA

Memo: Mid-West Ability Summit level you selected

Non-profits $100
Businesses $350
Artists with Disabilities $25 (space is limited)

Non-Profit Exhibitor Fee
Price $100.00

Business Exhibitor Fee
Price: $350.00

Artists with Disabilities Exhibitor Fee
Price: $25.00

Extra Booth Space
Price: $150.00

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total

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