DATC25 Exhibitor Step 1 of 4 25% Disability & the Church (DATC) Conference Exhibitor Application Form Thank you for your interest in exhibiting at the DATC Conference! Please complete the form below to help us learn more about your organization and ensure a great experience. Organization Name:(Required)Contact Person(Required) First Last Email(Required) WebsiteSocial Media Links Brief Description of Your Organization:(Required)Products/Services You Will Showcase:(Required)Why Are You Interested in Exhibiting at DATC?(Required)Do Your Products/Services Align with Our Mission to Equip Churches to Welcome Individuals and Families Impacted by Disability?(Required) Yes No Unsure Do You Need Assistance with Setup/Teardown?(Required) Yes No Will You Provide Any Freebies, Samples, or Resources in attendees swag bag?(Required) Yes No How Many Representatives Will Be Present at Your Booth?(Required) Billing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Shipping Address(Required) Same as billing address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Which Exhibitor Booth Option Would You Like to Reserve?(Required)Prime Booth - $400Standard Booth - $250Would you like to order box lunches on Wednesday? ($18 each)Order box lunches for your team. No12345 Note: All payments will be processed securely through Square, our trusted payment gateway. Credit Card(Required) Cardholder Name Card Details Total
