2026 NCSRC ANNUAL SYMPOSIUM EXHIBITOR/VENDOR REGISTRATION USING CHECK

Registration is open, and we’re so excited to have you join us for this event. Thank you for your continued support!

Please complete the registration form and select any additional sponsorships you may be interested in. If electricity is needed, be sure to select the Electrical Fee option.

For name badges, include representative names and titles in the appropriate row, Email any changes for this information to ncsrc@ncsrc.org.

For questions, call 252‑626‑5635. A W‑9 and invoice are available upon request.

First Name *

Last Name *

Email Address *

Phone *

Company Name *

Street Address *

City *

State/Province *

ZIP / Postal code *

Country

Website *

Brief Company Overview *

Representative Names and Titles for Name Badges *

Upload Company Logo for Publication/Acknowledgement

SPONSORSHIP LEVELSPlatinum – $1250.00 Three complimentary event registrations and 2 event tables plus social media shout out, Company Logo on the back of event t-shirt, Company Logo on event signage, and Premium table set up during the event.Gold – $1000.00 Two complimentary event registrations and 1 event table plus Mention in event BrochureSilver – $800.00 One complimentary event registration and 1 event table

Additional RepresentativesEach additional rep is $100 (does not include CRCE registration)One Rep $100.00Two Reps $200.00Three Reps $300.00Four Reps $400.00

SPONSORSHIP LEVELSEmployer/Educator Table – $500.00- One complimentary event registration and 1 event table

Additional RepresentativesEach additional rep is $100 (does not include CRCE registration)One Rep $50.00Two Reps $100.00Three Reps $150.00Four Reps $200.00

Electrical Fee 120v 20 amp $75.00$75.00

Break-Meal SponsorTier 1- $100Tier 2- $250Tier 3- $500

Sputum Bowl-Student TrackTier 1- $100Tier 2- $250Tier 3- $500

Calculations

Paying by CHECKIf paying by CHECK, Send to: NCSRC PO Box 3002 New Bern, NC 28564Paying by CHECK

Save as Draft