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Florida Mine Safety

Health & Training Program

About
Courses
Competition
- 2026 Competition
- 2025 Competition
Events
- Workshops
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MSIA
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About
Courses
Competition
- 2026 Competition
- 2025 Competition
Events
- Workshops
Media
Careers
MSIA
Contact

Competition Vendor Registration

"*" indicates required fields

Step 1 of 3

33%

Name

This field is for validation purposes and should be left unchanged.

Vendor Name:*

Vendor Representative's Name:*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email Address:*

Phone Number (cell):*

Phone Number (work):

How Many Booths Would You Like - $500 per booth

Product Area:*

Target Audience:*

Would your company be interested in:

Sponsoring a promotional item (such as notebooks or tote bags)

Being an in-kind sponsor (by providing food, pens, etc.)

If you'd like supply items for attendee bags (in-kind donation), please specify the item(s):*

If you'd like to sponsor a promotional item, please select which item(s).*

400 USB drives loaded with conference session slides, pictures, videos, etc. | $2,500

400 notebooks and pens | $2,000

400 tote bags or other branded attendee gift item | $1,250

Name badge pouches or lanyards | $500

Prices include the cost of production of each item.

Will your set up require an electrical hook up?*

Yes

No

What technical needs will be required?*

Florida Public Safety Institute Housing

Are you interested in housing?

Yes, I’m interested in housing

No, I am not interested in housing

Date In:*

MM slash DD slash YYYY

Date Out:*

MM slash DD slash YYYY

# of Single Rooms to Reserve ($36 per room per night):

# of Double Rooms to Reserve ($29 per bed per night):

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