NOVA Conference Exhibitor Screening Application

Company Name: *

Describe what service and/or product you propose to exhibit: *

If you offer a discount to NOVA members or conference attendees, please describe here: *

Please indicate your product classification (choose only one): *

First Name *

Last Name *

Phone *

Email Address *

Terms and Conditions *

By applying to exhibit, if you, your company, or any employees of your company provide any assistance to veterans, survivors, or dependents in claims or appeals for disability benefits before the Department of Veterans Affairs, you are attesting that you are accredited by the Department of Veterans Affairs and comply with all rules and regulations governing accreditation, representation, and the charging/collection of fees.

Please note that NOVA reserves the right to refuse this request for an exhibitor application at its discretion.

Please sign *

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