Sponsor and Exhibitor Registration

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Thank you for your response. ✨

First name

Last name

Phone

Exhibitor Name

Address Line 1

Address Line 2

City/Town

Province/State

Postal/Zip Code

What type of booth would you like?

If other please specify

Check all that apply. Do you need:

One 8' table Two 8' tables Two folding chairs (if more are required, please bring your own) Power (please bring your own extension cords) None of the above

Sponsorship opportunities:

If you selected an optional donation, please specify amount:

Would you like to make a donation to Women in Mining – Northwestern Ontario (WIM-NWO) Scholarship?

Please specify donation amount if yes:

I will require a PO number:(required)

Yes No

How many will be attending?

How many will be attending from out of town?

Will you require block booking?(required)

Yes No

Company Website

Other details