Exhibit, or Sponsor - NBNA Conference

2021 NBNA 49th Annual Institute and Conference Exhibit Booth Registration

Thursday, August 5 - Saturday, August 7, 2021
Don't delay, book your hotel reservation today!

HILTON ANATOLE HOTEL

2201 N. Stemmons Freeway
Dallas, Texas 75207
214-748-1200

Group Code: NBN

Booking Link: https://book.passkey.com/go/5cd78dec
"Celebrating 50 years of Innovative Community Service, Practice, Education, and Research in Nursing"

Thank you for your interest in exhibiting at the National Black Nurses Association's 49th Annual Institute and Conference.

The Conference attracts more than 900 student nurses and nurses in clinical practice, administration, nursing management, and education.
Date Submitted:

Month Day Year
Company/ Organization Name *
Billing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Contact Name *

First Name Last Name
Title *
E-mail *
Day Phone Number *

Area Code Phone Number
Fax Number

Area Code Phone Number
Exhibit Space

Yes, my company/organization is interested in exhibiting as indicated below.
BOOTH ASSIGNMENTS ARE ON A FIRST COME - FIRST PLACED BASIS!!

DEADLINE FOR SIGNED CONTRACT AND PAYMENT IS MAY 30, 2021.

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THE EXHIBIT HALL WILL BE OPEN:

Thursday, August 5 - Saturday, August 7, 2021

COVID-19 UPDATE:

Due to the safety requirements of the hotel, we will have to use the entire Trinity Exhibit Hall for the appropriate distancing between each booth and visitors to the booth. The hall is 73,000 square feet.

The Trinity Exhibit Hall is a not carpeted, thus we are requesting that you share in the cost of carpeting this space by paying an additional $250 which will provide carpet for your booth.

BOOTH RESERVATIONS DEADLINE: May 30, 2021
Booth Cost with Carpet *

8' X 10' Exhibit Booth - $1,500 + $250 = $1,750 8' X 20' Exhibit Booth - $3,000 + $500 = $3,500 10' X 16' Exhibit Booth - $3,000 + $500 = $3,500
Type of Product/Service: (Use correstponding number listed inside Exhibitor Prospectus)
NBNA PAYMENT & CANCELLATION POLICY

Payment by CHECK must be received in the NBNA office by Friday, June 11. After this date, payment may be made by money order or credit card (MasterCard or VISA) ONLY. Should it become necessary for you to cancel your registration, WRITTEN notification must be received (not postmarked) by Monday, July 5. Refunds will be made 90 days following the conclusion of the NBNA Conference. A $250 administrative fee will be deducted from the total amount refunded.

NBNA’s COVID-19 Cancellation Policy This is new!

Should NBNA be unable to host a live conference August 3-8, 2021 due to COVID -19, all registrants will be notified immediately. The following options will be offered to everyone who has paid their booth registration fee or sponsorship fee. Your confirmation of which option you are requesting must be confirmed within 7 days of the receipt of the official email canceling the conference.
- You may request a full refund of your booth registration fee.
- You may request that your booth registration fee be used to pay for the Virtual booth fee and the balance of your original payment will be returned to you.
- If you are the sponsor of a session, where food is not served, you may still present your session virtually.
- If you are sponsoring a session or event where food is to be served, we will work with you to refund the unused funds.
Booth Space Preferences:

View Floorplan in Exhbiitor Prospectus (page 17)
First Choice
Second Choice
Third Choice
NBNA Members: If you wish to participate in the business metting and vote, you must register for the entire Conference. Please complete and submit the NBNA Conference Registration Form.
EXHIBITORS CONTRACT FEE DOES NOT INCLUDE THE PRESIDENT'S BANQUET AND THE SUNDAY BRUNCH.
Total Amount Enclosed or to be Invoiced
Payment Type:

Check Send Invoice If you choose to pay by credit card call 301-589-3200 and ask for Dianne Mance
NOTE: If you do not receive confirmation of your booth reservaton within 15 days from your submission date, please contact the office immediately to confirm receipt of your contract and payment at 301.589.3200.

Submit exhibit contract and payment by May 30, 2021.

Payment must be sent with registration form to secure booth space. If space rental fee is not paid according to contract schedule, it may be re-assigned to another exhibitor at the option of NBNA.

Make check payable to:

National Black Nurses Association, Inc.

8630 Fenton Street, Suite 910

Silver Spring, MD 20910

Fax: 301.589.3223

___________________________________________________________________

Program Exhibitor Index Listing: in fifty words or less, describe exactly what you want to appear in the Conference Souvenir Program. Include the products or services to be exhibited. Deadline for inclusion in the program is May 21, 2021.
Please type your Exhibitor Index Listing here
If you would like to order meal functions please check:

Awards Ceremony and Luncheon $75 per ticket President's Gala $125 per ticket Friday Brunch $75 per ticket
All attendees and their guest must complete and affirm the following:

I agree to follow all State, Local, Hilton Anatole and NBNA health and safety requirements while attending the NBNA conference.
Signature

Clear
Date

Month Day Year
Date
Badge Request
ORGANIZATION/COMPANY CONTACT INFORMATION

There will be a charge of $25 per person for more than 4 booth personnel per $1500 booth. Please provide the names of the individuals who will staff your booth.

Use this Registration & Contract form to pay for additional booth staff.
1. BOOTH STAFF
Name:
Company:
City:
State:
Zip:
E-mail:
Nursing Credentials if applicable
2. Booth Staff
Name:
Company:
City:
State:
Zip:
E-mail:
Nursing Credentials if applicable
3. Booth Staff
Name:
Company:
City:
State:
Zip:
E-mail:
Nursing Credentials if applicable
4. Booth Staff
Name:
Company:
City:
State:
Zip:
E-mail:
Nursing Credentials if applicable
Should be Empty:

2021 NBNA 49th Annual Institute and Conference Exhibit Booth Registration

Booth Space Preferences:

Badge Request

1. BOOTH STAFF

2. Booth Staff

3. Booth Staff

4. Booth Staff