Sponsor/Exhibitor Registration

Name of Representative 1*

First Last

Name of Representative 2

First Last

Company*

Phone*

Email*

Exhibit Booth (3 Available)

Price: $350.00

Includes Full Registration for 1 Attendee

Additional Attendees

Price: $125.00

Sponsor Opportunities (Does not include booth/registration)

Coffee Break Sponsor – $600

Please refer to the Sponsor Packet for what is included at each level. DOES NOT include exhibit booth or attendee registration, please purchase seperately.

Total

$0.00

Credit Card*

Card Details

Cardholder Name

Name

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Mid-Year Conference

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