Exhibitor Registration

Organization/Agency Name :*
Primary Contact First & Last Name :*
Organization/Agency Address:*	Include street address, city, state, and zip
County or Counties where you provide service(s) :*
Phone Number :*	Please advise if mobile or office, If office provide extension #.
Email:*
Description of services or products your Organization/Agency offers:*	Limit 50 words
Is this your first time participating in the City of Jacksonville’s Disability Expo? :*
Do you need an electrical plug-in at your booth? (additional cost may apply):*
If you require accommodations, please describe:*	Type n/a if not applicable

Once your application to participate as an Exhibitor has been submitted, it will undergo processing based on a first received, first served system. You will receive a determination once all applications have been processed and reviewed. Kindly allow time for the Division to review your request. Due to space limitations, we are unable to guarantee a booth.

Please indicate you have read this process:*

If you need additional information, please contact Kara Tucker at KaraT@coj.net or Tereese Goodloe at TGoodloe@coj.net

City of Jacksonville

Exhibitor Registration

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