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Indigenous Biz Con Registration
2023 IBC Event Registration
Ticket/Access Type
*
General Admission - $325.00
Marketplace Artesian Vendor - Invite Only - $200.00
Name
*
First
Last
*
Last
Company Name
*
If you wish not to provide company name, please write other
Job Title/Leader Type
Tribal Affiliation
Billing Address
*
Billing Address
Billing Address
Billing Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
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Louisiana
Maine
Maryland
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Michigan
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Ohio
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Email
*
Phone
*
Food Allergy
Yes
No
Please provide allergy type
Marketplace Artesian Vendor Information
Website/URL
Product(s) being sold
*
Bio
*
Logo
*
Drop a file here or click to upload
Choose File
Maximum file size: 16.78MB
Will you need electricity?
*
No
Yes ($100 Charge)
Select the days when your booth will be open for business:
*
10/9/23 (Full Day)
10/9/23 (Evening Only)
10/10/23 (Full Day)
10/11/23 (Morning Only)
Coupon/Discount Code
Discount Amount
Receive email updates
I would like to receive email updates regarding future conferences
Subtotal
$
Tax
Total
$
Credit Card
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