Recruiter Registration

November 30, 2021March 24, 2023
by eric@hear-media.com

When you submit this form, you will receive a copy of your registration at the email address provided. We will email you an invoice within two working days, and you may pay by check or credit card. Contact Eric Hause with questions.

First Name

Last Name

Your Email

Your Phone

Business/Organization Name

Address

City

State and ZIP

Business or organization web site

Business or organization description (150 characters or less)

Does your business or organization have publicly available diversity and inclusion policy?

Yes

If so, please post a link to it below.

Is your business or organization a current member of HRBOR, Hampton Roads' LGBTQ Chamber of Commerce?

Yes

If you need electricity, please check below.

Yes, we need electricity.

Please select your Expo investment level (review options here).

Gold Sponsor ($1,000.00)

Silver Sponsor ($800.00)

Bronze Sponsor ($500.00)

For Profit & Government ($400.00)

Non-Profit ($300.00)

Support & Social ($50.00)

Captcha