Canadian Exhibitor Registration Form

The North American Council on Adoptable ChildrenCanadian Exhibitor Registration Form

If you reside in Canada, complete the form below to register to exhibit at the 2021 NACAC conference. Please note that NACAC will review all exhibitor registrations and has the right to make final decisions about which organizations will be able to exhibit at the NACAC conference.

The fees on this form are charged in Canadian dollars.

If you have questions, contact Sandy Davis.

If you are not sent to a confirmation web page after clicking the Submit button, there is information that needs to be corrected on your form. Please review it and correct any highlighted fields. You will receive an immediate email notification of your registration from nacacweb@nacac.org.

Request to Exhibit Form
If you are not re-directed to a different web page confirming your request after you click on the submit button, scroll to the bottom of the page and determine what information is missing and re-enter and submit.
Main Contact*
First Last
Email for Main Contact*
Affiliation/Organization Name*
We typically use exactly what you type so please use initial caps and write out organizational names fully (for example: Mary Smith, Department of Human Services).
Email to share with attendees (if different from above)
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Is above cell, home or office?
- Cell
- Home
- Office
Will main contact be staffing the online booth?
- Yes
- No
Will there be additional representatives staffing the online booth?*
- Yes
- No
Please provide names and email addresses of additional representatives (if known).
Purpose for Exhibit*
Other
Anything else we need to know?
Affirmation of Nondiscrimination*
To exhibit at the NACAC conference, you must affirm that you comply with our nondiscrimination policy, which prohibits discrimination against anyone on the basis of race, color, ethnicity, ancestry, age, genetic information or disability, sexual orientation, gender, gender identity or expression, religious or political beliefs, citizenship, membership in any labor organization, financial means, family or parental responsibility, marital, veteran, or immigration status, or any other status protected by law.
I affirm that my organization complies (or I comply, if exhibiting as an individual) with NACAC's nondiscrimination statement (type name to indicate your affirmation):
Rate
Price: $ 200.00 CAD
Total
$ 0.00 CAD
Payment
How will you pay?*
- Credit Card (now)
- Check (must be received before July 1, 2021)
Make out checks to "NACAC" and mail to:
Becky Tempest
NACAC
970 Raymond Ave Ste 106
Saint Paul, MN 55114
Credit Card
Card Details
Cardholder Name
Please Note
If you are not re-directed to a different web page confirming your request after you click on the submit button, scroll to the bottom of the page and determine what information is missing and re-enter and submit. You will receive an email confirmation about your submission.
Email
This field is for validation purposes and should be left unchanged.

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Canadian Exhibitor Registration Form

Request to Exhibit Form

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