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2nd Annual Helping Build the Latina Business Woman Conference Registration Form

EXHIBITOR EXPO OPPORTUNITIES
Non-Profits - $200
NLBWA Members - $250
Non-Members - $350
Corporate - $650
SOLD OUT
(Once you fill out the form and hit submit, there will be options to pay for Exibitors)
Name:
Business Name:
Address:
City:
State:
Zip:
Phone (with area code):
E-mail Address:
Fax (with area code):
Did you attend last year's conference?:
How did you learn about the conference?:
Please indicate type of business:
Number of years in business:
Please indicate percentage of ownership:
Number of employees, if any:
Annual revenue:
What types of programs or workshop topics would you like to see NLBWA offer:
Are you interested in diversity procurement opportunities with corporations or government agencies?:
Are you a certified small business owner?:
Are you interested in becoming a member and receiving more information from your local chapter? Please specify chapter: LA, Sacramento, San Diego, Orange County, Atlanta, Inland Empire?:
Would you be interested in setting up a NLBWA chapter in your area? If so, we would love to hear from you.:
Do you have a question that you would like to pose to the panelists?:
Comments:

Thank you for taking the time to answer the above questions. At NLBWA we value your opinion and strive to better serve the needs of the Latina Business Woman by developing programs and events that will empower you and help you develop the skills set necessary to run a successful business or further your career goals.