Registration We are only taking Exhibitor Sponsorships registrations at this time. Attendee registrations will open in June 2025. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLevel of Vision *SightedLegally Blind/Partially SightedTotally BlindPreferred Conference Program Format *BrailleElectronicLarge PrintPreferred Method of CommunicationPhoneTextEmailSnail MailBirthdateMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleMobilityWhite CaneGuide DogSighted GuideWheelchair/ScooterAllergies (especially food allergies) or other health issuesCause of Blindness/Eye DiseaseHow did you hear about the conference? I am interested in group transportation if possible. This may be a chartered bus/van and I understand this incurs an additional fee.YesNoI need an assistive listening deviceYesNoI am a Personal Assistant or SSPYesNoI'm an Assistant/SSP for:I am a VolunteerYesNoI would like to order a conference t-shirt for $20. Adult sizes only (add $1 for 2XL, $2 for 3XL) choice. This will be invoiced separately closer to the conference time.SmallMediumLargeXL2XL +$13XL +$2I am purchasing Meals (ala carte option at check out).YesFor Exhibitor SponsorsCompany NameName(s) of those manning the boothCompany PhoneWebsite / URLCompany AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLevel of SponsorshipPlatinumGoldSilverBronzeMarketing/Goodie BagsAdd on'sExtra TableElectricityMeal TicketsAre you willing to donate an item for the auction raffle?YesNoWill you be sending Marketing Material or SWAG to be stuffed into the Goodie Bags?YesNoI am interested in Post Conference Activities (cost varies and is not included in conference costs)Bass Pro ShopMagnolia Soap or Candle Making ClassRose District ShoppingSubmit Skip back to main navigation