2025 Exhibit Hall, Open July 18th-20th Exhibition Hall Booth Registration Vendor Booth Options Earlybird Pricing until 3/1/25 Artist’s Booth – $500 $250Author’s Booth – $450 $225Small Business/Retail – $750 $375 Other Pricing Corporate Booth – $1,350Education Organization – $750Government Organization – $750Non-Profit Organization – $750Upgrades Available:Corner Booth: $100 (above standard rate) Vendor Registration Form Step 1 of 3 33% Company Name:*Name* First Last Phone*Email* Enter Email Confirm Email Website Address*Please Use Credit Card Billing Address Street Address Address Line 2 City State Cardholder StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Booth InformationDescription of Product or Service:* Select Desired Booth Type To qualify as a small business, retail, and not-for-profit, annual net profits cannot exceed $250,000.Booth Type*Select vendors are half-off through March 1, 2024 Artist's Booth $250.00 Author's Booth $225.00 Small Business/Retail $375.00 Educational Institutions (Schools) $750 Government Organization $750 Non-Profit Organization $750 Corporate $1,350 Quantity Booths*Please enter the number of booths you want.Please enter a number greater than or equal to 1.This field is hidden when viewing the formCorner Booth Upgrade*Corner Booths are available on a first come, first served basis.Please make a selection.No, I do not want a corner boothYes, I would like a corner boothTotal charges based on selections $0.00 Agree and PayConsent*By clicking this box you signify that you agree to the full terms and conditions of Indiana Black Expo's Exhibitor Contract. Click to read the full agreement I agree to the Vendor Contract TermsPlease acknowledge your acceptance by signing.*Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Post Tags Separate tags with commas NameThis field is for validation purposes and should be left unchanged.