Event Registration
Monroe County Finger Lakes PTAC

Title of Event: Wayne County Buyers Forum
 
  * Green Fields are required
Company Name:
Attendee Name:
Mailing Address:
City:
State:
Zip:
County:
Same as Mailing Address:
Physical Address:
City:
State:
Zip:
County:
Work Phone:
Fax:
Cell Phone or Pager:
E-Mail Address:
URL/Web Address:
 
If this is your company's first time to contact the Monroe County Finger Lakes PTAC,
please complete the following:

Avg # of Employees (last 3 yrs):
Avg Yearly Gross Sales (last 3 yrs):
Date Business Was Established:
Have you previously done business with any government agency or prime contractor?
Yes No Don't Know
 
Generally describe or list the products or services you wish to offer to the government:
List the types of services you might want to receive from our center:
How did you hear about us?
    Other:


By submitting this registration I give consent to Monroe County Finger Lakes PTAC to provide my company with PTAC client services.