For Sponsors and Advertisers
NAME

2010 SPONSOR & EXHIBITOR REGISTRATION

Company Name:
Contact:
Address:

City: State: Zip:
Phone:
Email:
Product or Service:
Advertisement Contact:
Advertisement Contact Phone #:
Sponsorship Type - click here for details on sponsorship options
Diamond Sponsor (limited to one company) - $5,000.00
Conference Sponsorship

Gold Sponsor (limited to three companies) - $4,000.00
Choose one:

We would like to sponsor Lunch
We would like to sponsor 1st Keynote Speaker
We would like to sponsor 2nd Keynote Speaker

Silver Sponsor (limited to five companies) - $3,000.00
Choose one:

We would like to sponsor breakfast
We would like to sponsor badge holders
We would like to sponsor conference bags
We would like to sponsor the Tuesday evening networking event

Bronze Sponsor (limited to five companies) - $1,500.00
State speaker preference:

Exhibitors - $800

  • Your booth should be ready by November, 2rd at 2:00pm.
  • The conference continues from 7:30 am to 5 pm, Wednesday, November 3th.
  • Your booth must be occupied during these times.

Attendees (Enter names to be included in above charges):
1) 3) (Gold/Diamond only)
2) 4) (Diamond only)

Additional Attendees (Enter names):
5)
Wednesday Only (add $100)
Tuesday and Wednesday (add $125)
7)
Wednesday Only (add $100)
Tuesday and Wednesday (add $125)
6)
Wednesday Only (add $100)
Tuesday and Wednesday (add $125)
8)
Wednesday Only (add $100)
Tuesday and Wednesday (add $125)

Do you need electric hook-up? YES      NO
Do you need internet access? YES      NO

I have read and agree to the Exhibitor rules and regulations.

Should you have any questions, please contact Revonda Moody.