Annual Gathering Exhibitors

Organization*

What is the name of the mission/organization/school applying for exhibit space at the Annual Gathering?

Address of the Organization*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Name*

Name and contact information (below) of the contact person applying for the organization.

First Last

Contact Phone*

Contact Email*

Enter Email Confirm Email

Exhibitor Name

Name of the person staffing exhibit if different than above. If multiple people will staff the exhibit, list additional person(s) here.

First Last

Exhibitor Name

First Last

Exhibitor Name

First Last

Exhibitor Information and Fees

The exhibit space is one 6’ table (w/skirting), two chairs and a wastebasket for $275. Electricity is available upon request. Additional tables are available for additional fees. Fee: $75 for Missions or Missionaries. No Charge for CCCC Committees or Ministries Each exhibitor must register to be a full participant in the CCCC Annual Gathering at www.ccccusa.com/ag.

Standard Exhibitor Table

Price: $275.00 Quantity:

Mission/Missionary Exhibitor Table

Price: $75.00 Quantity:

CCCC Ministries Exhibitor Table

Price: $0.00 Quantity:

Electricity?*

Indicate yes or no

Yes
No

Other Needs

Any other information to make your participation with us as convenient as possible.

Thank You

We appreciate your support of the CCCC Annual Gathering. You will be redirected to the CCCC website when you submit this form to complete your payment and to register your attendance.