Exhibitor Registration for the 2017 Minnesota TZD Regional Workshops

To request an exhibitor table at a TZD regional workshop(s), please complete this online exhibitor registration form. The workshops facilitate the goal of creating a collaborative, comprehensive, and regional approach to reducing traffic-related deaths and severe injuries on Minnesota roads.

If you or another member of your organization will be attending the workshop(s), you must also complete the separate participant registration. Completion of the exhibitor registration form does not register you as a participant.

Please contact Shannon Engstrom at 612-625-5608 or engstrom@umn.edu with questions.

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* 1. My organization will exhibit at the following TZD Regional Workshop(s). Please select all that apply.

4/19 Metro: Roseville, The Radisson Hotel Mpls/N St. Paul (register by April 5)

4/21 Southwest: Redwood Falls, Community Center (register by April 7)

5/3 Southeast: Rochester, International Event Center (register by April 19)

5/4 South Central: New Ulm, Conference Center (register by April 19)

5/11 West Central: Ottertail, Thumper Pond (register by April 26)

5/23 Northwest: Bemidji, Sanford Center (register by May 9)

5/24 East Central: Brainerd, The Woods (register by May 9)

5/31 Northeast: Duluth, Northland Country Club (register by May 16)

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* 2. Organization

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* 3. First name of person who you would like listed on the exhibitor roster

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* 4. Last name of person who you would like listed on the exhibitor roster

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* 5. E-mail Address

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* 6. Confirm E-mail Address

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* 7. Phone Number

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* 8. Fax Number

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* 9. Business Street Address

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* 10. City

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* 11. State

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* 12. Zip Code

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* 13. Organization Website

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* 14. Do you need electricity at your table?

Yes

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* 1. My organization will exhibit at the following TZD Regional Workshop(s). Please select all that apply.

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* 2. Organization

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* 3. First name of person who you would like listed on the exhibitor roster

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* 4. Last name of person who you would like listed on the exhibitor roster

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* 5. E-mail Address

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* 6. Confirm E-mail Address

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* 7. Phone Number

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* 8. Fax Number

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* 9. Business Street Address

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* 10. City

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* 11. State

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* 12. Zip Code

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* 13. Organization Website

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* 14. Do you need electricity at your table?

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* 15. Exhibitors will receive one six-foot table. If you need additional or different space, please list here.