Exhibitor Registration Form Please fill out this form if you are attending the CTSC conference as an Exhibitor. Exhibitor Registration Full Name (Exhibitor 1) * Full Name (Exhibitor 1) First First Last Last Full Name (Exhibitor 2) * Full Name (Exhibitor 2) First First Last Last Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email * Phone * Number Exhibitor Information Exhibitor Profile (Please provide a description of the products or services for exhibit) Exhibitor Attendance Preferences Tuesday: Hospitality Night Networking Event (Venue to be Announced) Wednesday: Dinner and Awards Night Wednesday: Competitive Bug-Off Event Food Preferences Non-Vegetarian Meals Vegetarian Meals Halal Meals Allergy Alert Specify Allergy (Confidential) Exhibitor Checklist 1/2 Page Display Ad (For inclusion in the Official Conference Guide) Exhibitor Profile Opportunity (Short Presentation) Company LOGO (PNG or JPG) Booth Power (Included No Charge) Other (Special Requirements)Other (Special Requirements) Payment Registration and payment must be received in advance for the event. Please note we do not accept at the door registration for security reasons. See https://ctsc-canada.com/accommodation-and-reservations/ for information about accommodations. Please contact Carol Fairbrother at cfairbrother@pdtg.ca should you have any questions. Payment Method Credit Card (Call or submit e-mail credit card form separately) Mail Cheque (Payable to: Professional Development TSCM Group Inc. Bank Wire-Transfer (Contact pdturner@pdtg.ca for bank details) PayPal (Payable to sales@pdtg.ca Advance Payment Required $1,450.00 + $72.50 GST = $1,522.50 CAD for Exhibit Display Table (5-Foot|2 Chairs|Electrical Power) If you are human, leave this field blank. Submit