Email*
First name*
Last name*
Address*
City*
Zip Code*
Country*
State*
Name of organization or group
My organization wishes to request space for an exhibit
No - This is a donation
My organization is planning an activity (choose all that apply)
Live presentation: demo, how to, mini-class, etc
Hands-on learning activity: fix it, up-cycle craft, game, etc)
Interactive: voting jar, pledge, idea board, etc
Donation station (accepting small, specific donation item/s)
Info Booth without a specific activity
Mini class or demo at the pavilion stage (10-30mn)
We plan to have an activity, but uncertain at this time
Contact Phone Number (used internal only as secondary communication for planning purposes, and day-of event)