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Long Island Energy Expo 2023
Vendor form
Registration Information
Company Name
(Required)
Address
City
State
Zip
Website
Contact
Phone
Email
(Required)
Number of tables to be reserved
(Required)
1 Table $650
2 Tables $1300
3 Tables $1950
4 Tables $2600
5 Tables $3250
6 Tables $3900
More than 6 Tables
Additional 3% processing fee will be applied at the end.
1 Table
Price:
includes 3% processing fee
2 Tables
Price:
includes 3% processing fee
3 Tables
Price:
includes 3% processing fee
4 Tables
Price:
includes 3% processing fee
5 Tables
Price:
includes 3% processing fee
6 Tables
Price:
includes 3% processing fee
Tables
Quantity
Price:
$669.50
Quantity
includes 3% processing fee
Total
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Security Code
Cardholder Name
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