Made in Marion Online Registration

Company Name:

Contact Name:
Contact Email Address:

Contact Telephone Number:
Company Street Address:
City:
State:
Zip code :
County:

Please list your business/product made:

Select your booth size: 10' x 10' or 10' x 20'

Will you need electric? Yes or No

We would love to show your company videos on the MarionMade! YouTube channel. Please forward these videos to Mike Augenstein at augensteinm@mtc.edu.

Will you be sharing your company videos? Yes or No

We are asking companies to provide a hands-on activity showcasing their product or process.

Example: A working robot, a simulated assembly line, a product in varying stages from start to finish.

What activity/exhibit will your company provide to meet this?

Will you need extra chairs and tables? If so how many?

Signature (Type your name)

Date (MM/DD/YYYY)