Wufoo
Exhibitor/Presenter Application
All interested exhibitors must complete the form below to be considered for the Entrepreneur Expo. Please note that completion of the application, does not guarantee acceptance as an Exhibitor. Every effort will be made to accomodate technology entrepreneurs who meet the exhibition requirements, but choices of exhibitors will be made based on space, content and to provide the largest showing of the diversity and work in the Philadelphia technology entrepreneurial community.
Accepted exhibitors will be contacted by our team with more details. Please note that all accepted exhibitor companies will be charged a $45 fee. You will receive further information regarding payment of this fee upon notification of your acceptance.
Name
*
First
Last
Company Name
*
Web Site
*
Email
*
Phone Number
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-
###
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How may years have you been in business?
*
Please select one of the below
Less than 1 year
1-2 years
2-3 years
3+ years
Description of Product/App/Service/Idea
*
Do you agree to the guidelines for exhibiting as outlined on the Exhibitor page of the Entrepreneur Expo website? http://expo.phillystartupleaders.org
Yes
No
Category
*
Please select one of the below
Technology
Web
Biotech
Green
Other
Names of other company representatives attending (Maximum of 3 representatives per exhibitor)
Technical Requirements (outlets, wifi, audio/video) - Please note each exhibitor is required to provide their own hardware (laptops, monitors, etc...), extension cord and a powerstrip. You may be required to share an electrical outlet with another exhibitor so a powerstrip is necessary if you have more than 1 device that must be plugged in.
These items are not guranteed and will be discussed with companies on a case by case basis.
Any Questions or Additional Needs?
Do Not Fill This Out