Exhibitor Registration

Company/Organization/University Name

Contact Name

Phone Number

Email

Company/Organization/University Website

Contact Name & Email for Conference Program

Booth Identification Sign (exactly how it should read). Type N/A if not exhibiting

Attendee #1 Badge First & Last Name

Attendee 1 Meal Accommodations

Attendee 1 Attending the Meet & Greet dinner on Sunday at 6pm?

Yes

No

Attendee #2 Badge First & Last Name

Attendee 2 Meal Accommodations

Attendee 2 Attending the Meet & Greet dinner on Sunday at 6pm?

Yes

Option 2

Stamp Card Participant?

Yes

No

Stamp Card Question #1

Stamp Card Question #2

Exhibitor Booth

Single Booth Rental without Electricity – $525

Single Booth Rental with Electricity – $555

Double Booth Rental without Electricity – $1,050

Double Booth Rental with Electricity – $1,110

Booth already included in sponsorship

Not Exhibiting

Advertising Opportunities

Digital Conference Program Ad(s) – $150/each

24″ x 36″ logo sign – $200/each

18″ x 24″ logo sign – $150/each

No advertising

Checkboxes

Platinum Level Sponsor – $8,000

Gold Level Sponsor – $5,000

Silver Level Sponsor – $3,000

Bronze Level Sponsor – $1,500

Monday Night Celebration Sponsor – $3,000

Keynote Sponsor – $500/each

Breakout Session Sponsor – $250/each

Not sponsoring

Payment Type

Credit/Debit Card (3% fee added on invoice)

Check