STAPLE! Exhibitor Application TABLES ARE SOLD OUT! Further entries will be added to the wait list and contacted if a spot becomes available. Thanks! Please fill out the application form below to be added to the waiting list. After you click submit you will be able to download and print a pdf of the application, and sent a confirmation email. If a spot becomes available you will be contacted with further instructions Each table comes with TWO exhibitor badges. For more than two exhibitors you must purchase extra badges at $15 each, and provide the person’s name under the Additional Exhibitors section of the form. If you purchase the extra badge but do not give their name, that person will receive a wristband during check-in at the show. Electricity is not provided at the show. No refunds for cancellation after 7/31/18. By applying to exhibit at STAPLE! you agree to abide by our Anti-Harassment PolicyName*First & Last - Include preferred pronouns here if desired.CompanyAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Do NOT use a Yahoo email address! Their servers will reject your confirmation email!Website TwitterInstagram Enter in information for additional exhibitors (up to 5) below.Additional Exhibitor One: NAMECompanyEmail Website TwitterInstagram Two: NAMECompanyEmail Website TwitterInstagram Three: NAMECompanyEmail Website TwitterInstagram Four: NAMECompanyEmail Website TwitterInstagram Five: NAMECompanyEmail Website TwitterInstagram Indicate below the number of Full (8') or Half (4') Tables you wish to purchase. (Note: A half table is a full sized table that is shared with another exhibitor.)Full Table (8 feet) Price: $185.00 Quantity: Includes 2 badges.Half Table (4 feet) Price: $110.00 Quantity: Includes 2 badges.Extra Badges Price: $15.00 Quantity: For more than two exhibitors.Total $0.00 Signature*HOLD HARMLESS: By agreeing to exhibit at STAPLE! The Independent Media Expo, the exhibitor agrees to protect, keep and save STAPLE!, Independent Media Ventures, and the Millennium Youth Entertainment Complex, forever harmless from any damage, loss, theft, cost, liability or expense that arises from their exhibiting at this show. This agreement covers full setup, run of the show, breakdown and move out. By signing above you are indicating your approval of all information contained. Filling out and submitting this form constitutes consent to use your name, the names of your company and publications, and your website address on the STAPLE! website. Your personal information will not be sold or used for any other purpose.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.