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Annual Conference

Conference Sponsor and Exhibitor Form

First Name *
Last Name *

Mailing/Billing Address

Country
Address Line 1 *
Address Line 2 *
City *
State/Province *
Postal Code *
Sponsorship Levels - Please choose one

All Sponsorship and Exhibitor Levels receive complimentary conference registrations. See below.

Contributing ($1,000) - 2 Free Registrations

Bronze ($2,000) - 2 Free Registrations

Silver ($3,500) - 3 Free Registrations

Gold ($5,000) - 4 Free Registrations

Platinum ($10,000) - 6 Free Registrations

Diamond ($15,000) - 8 Free Registrations

Each additional registration beyond the complimentary sponsorship level are $150 each.

 

A la carte sponsorships (break stations, music bingo) do NOT receive complimentary registrations on their own. If your agency chooses only one or more of the a la carte sponsorships, each registrant will be responsible for the $150 conference registration fee.

Additional Sponsorship Opportunities (a la carte)
*Does not qualify for free registrations.
*Does not qualify for free registrations.
*Does not qualify for free registrations.

Conference Registration - All sponsorship levels receive 2 (two) free conference registrations. A la carte sponsorships (break stations, music bingo) do NOT receive complimentary registrations on their own, Please fill out the information below. You will receive an email requesting additional registrations based on sponsorship level and payment.

First Name *
Last Name *
All sponsorship levels
First Name *
Last Name *
All Sponsorship Levels
Please upload a high resolution logo file to be displayed in print and online promotions. 300 dpi at 5 inches x 5 inches.
No file selected
Payment Option
If you choose the Pay Later option, you will be emailed an Invoice
Credit Card Information
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged
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