EmailMe Form - Vendor / Sponsor Registration Form

Name *

First Last

Company *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Cell Phone

### - ### - ####

Fax

### - ### - ####

Email *

Registration & Additional Attendees *

I will attend ($125)

I will attend with one other attendee ($250)

I will attend with two other attendees ($375)

I will attend with three other attendees ($500)

$125 ea. for each attendee ($150 after 4/21/2023)

Registration & Additional Attendee Names

If above you selected that additional attendees will be joining you please list their names here.

Number attending Thursday dinner *

1

2

3

4

Guest / Spouse

Yes a guest / spouse will be attending ($75)

No one else will be joining me

$75 ea. for your guest / spouse to attend ($85 after 4/21/2023) Includes Thursday Dinner

Guest / Spouse Name

If above you selected that a guest / spouse will be joining you please list their name here.

Golf Outing

$95 each name

Sign-up Deadline for Golf is 4/21/2023

Golf: Name/Names

If above you selected that a guest / spouse will be joining you please list their name here.

Vendors renting at least 1 booth receive 1 Registration at no cost

VENDOR Info. I wish to rent:

Indoor Booth(s) w/ 1) 8’table @ $900 ea.

(Price will be $1000 after April 21, 2023)

Booth Number: 1st choice, 2nd choice, 3rd choice, or # assigned in order of receipt

Electricity required

Yes

No

Sponsors of a Break, Breakfast, Reception will be provided 1 Registration & 1 booth at no cost.
Sponsors of a Lunch & Entertainment will be provided 2 Registrations & 1 booth at no cost.

SPONSOR Info - I wish to sponsor:

If you wish to sponsor an event above, please list here how many sponsorships for each event or if you would like to make a donation, list that amount.

Product or Service Provided (this is your listing in the directory)

Total Amount Due *

Calculate the amount due (Registration + Guest / Spouse + Golf + Vendor + Sponsor = Total)

VENDORS may purchase booth space equipped with 8’ skirted tables in the Vendors Display Areas. Electrical outlets are provided. Booth space is offered at $900 ($1000 after April 21, 2023) There will be no pipe and drape. Displays must be free-standing or table-top. No tape or pins can be used to mount items to the walls and windows.

ACKNOWLEDGEMENTS: Vendors and Sponsors will be introduced to the participants prior to the General Sessions on Thursday morning and will be listed in the Directory to be included in the Registration packets. Sponsors of an event will also receive our heartfelt appreciation, a sign near the entrance of a sponsored event room or on the sponsored golf hole, and an audio mention over the PA system during the event being sponsored.

Upon completion of this form you will receive an email with a PAYPAL link. Or you can return to the registration page and pay via the PAYPAL link there.

Vendors renting at least 1 booth receive 1 Registration at no cost

Sponsors of a Break, Breakfast, Reception will be provided 1 Registration & 1 booth at no cost. Sponsors of a Lunch & Entertainment will be provided 2 Registrations & 1 booth at no cost.

Sponsors of a Break, Breakfast, Reception will be provided 1 Registration & 1 booth at no cost.
Sponsors of a Lunch & Entertainment will be provided 2 Registrations & 1 booth at no cost.