Correctional Ministries and
Chaplains Association

Exhibit Information Form
All exhibitors must also register at least one individual for the CMCA 2017 Summit. After you have completed this form, you will be automatically directed to the Summit registration page where you may register for the Summit and also select and pay for an exhibit table. Thank you.

First Name:  (Required)
Last Name:  (Required)
Email:  (Required)

Name of the Organization  (Required)
Organization Address  (Required)
Contact Phone number  (Required)
Do you need an extension/power chord for outlet hook up?
Please provide the names and contact information for others who will be attending the Summit/Exhibit Table

Please provide a brief description of your ministry and description of any items that will be for sale at your table

Please enter the letters you see in the image above