Vendor Registration 2024

Key Contact Person/Title: Key Contact Person/Title: First Last
Key Contact Phone No.: Key Contact Phone No.: - ### - ### ####
Key Contact Email Address:
Company Name:
Company Address: Company Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Company Phone No.: Company Phone No.: - ### - ### ####
Web address:
Brief Company Overview:

Include additional material in attachment if necessary, i.e. re-sizable company logo
Sponsorship Packages (please indicate desired package, one representative w/ each package included)

Sponsorship Packages (please indicate desired package, one representative w/ each package included) Vendor Commercial - Vendor Commercial with no package; no exhibit booth onsite - $350 Bronze - Exhibit Booth only; includes one electrical outlet, table, and drape - $900.00 Bronze Plus - Includes Bronze package, one (1) one-day conference admission - $1150.00 Silver - Includes Bronze Plus package, ad in conference rooms , plus one additional representative - $1450.00 Gold - Includes Silver package, ad in conference rooms and during breaks; includes vendor commercial - $1700.00 Platinum - Includes Gold package, sponsorship for break; includes vendor commercial - $2200 - Break Sponsor Level Virtual Commercial; added to Bronze, Bronze Plus or Silver Package - $250.00
Additional Table - Add to Above Package - $350.00

Additional Table - Add to Above Package - $350.00 Yes No
Additional Representatives -
Indicate any additional electrical needs or extra accommodations:
$0

Total

Vendor Registration 2024

Vendor Registration 2024

$0

Total

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