Minority & Women Business Certification Workshop

May 8, 2024 at UCA Brewer-Hegeman Conference Center

This registration form is for both vendors and event staff. Vendors, please limit your guests to two and have guests complete the registration form separately. If you have questions, please contact Dr. Kristy Carter at kcarter@uca.edu.

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* 1. Name

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* 2. Email

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* 3. Contact Phone

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* 4. Company/Organization

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* 5. Please use the space below to request accessible accommodations, e.g., language interpreter, parking, etc. If none, leave blank.

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* 6. Do you follow any of the these dietary restrictions? (Please select all that apply.)

Vegan

Vegetarian

Food Allergy (e.g. gluten free, peanut free)

I do not follow any of these dietary restrictions

Prefer not to answer

Other (please specify)

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* 7. Which best describes your attendance at this event?

Vendor/Participant

Event Staff/Speaker/Sponsor