* fields are required.

Primary Contact*

Email*

Phone*

Business Name*

Address*

City*

State*

Zip Code*

How many table spaces are you requesting? (Strict limit of 3)*

Will you require electricity?*

Will you require space against a wall?*

How many employees do you anticipate will need memberships for the convention? (Each individual working your table space will need a convention membership)*

Have you already paid for one or more convention memberships for DemiCon 29?*

No Yes

List each person that already has a membership*

Total memberships

Memberships purchased

Memberships still needed

Website/Etsy Page/Facebook Page*

http://

Describe your merchandise and business*

*I have read and agree to follow the DEALER ROOM RULES / GUIDLINES

*I have, or will have by May 4, 2018, a valid Iowa Sales Tax Permit

In order to reduce spam, please answer the following simple math problem*

5 - 3 =

Apply to be a vendor in our Dealers' Room