Exhibit and Sponsor Form

Exhibit and Sponsor Form

EPCOR Payments Conference Spring and Fall
Company Name
Company URL
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Description

0/50
Please send your high resolution company logo

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In what event would you like to participate?

EPCOR Payments Conference ExhibitorPayment Systems UpdateEPCOR Payments Conference SponsorEPCOR Payments UniversityNews You Can UseDid You Know YouTube videoEducational WebinarWebsite
Exhibit at EPCOR Conferences
Member – $1,095Non-Member – $1,495
Add’l exhibitor registrations
$575 per person
Add’l exhibitor registrations
Non-Member – $1,150 per person
Exhibit at which conference?

SpringFall
Vendor Showcase (Optional/Limited Availability)

Spring – $695Fall – $695
Title of Showcase
Description of Showcase
Sponsor EPCOR Conferences
Sponsor at which conference?

SpringFall
Level of Sponsorship (per event) – Spring

Platinum Member – $5,200Platinum Non-member – $6,500Gold Member – $3,200Gold Non-member – $4,500Silver Member – $1,900Silver Non-member – $3,000Bronze Member– $950Bronze Non-member – $1,900
Level of Sponsorship (per event) – Fall

Platinum Member – $5,200Platinum Non-member – $6,500Gold Member – $3,200Gold Non-member – $4,500Silver Member – $1,900Silver Non-member – $3,000Bronze Member– $950Bronze Non-member – $1,900
Platinum Sponsorship Opportunities – Spring
Platinum Sponsorship Opportunities – Fall
Gold Sponsorship Opportunities - Spring
Gold Sponsorship Opportunities – Fall
Silver Sponsorship Opportunities – Spring
Silver Sponsorship Opportunities – Fall
Bronze Sponsorship Opportunities – Spring
Bronze Sponsorship Opportunities – Fall
Other Opportunities – Spring
Other Opportunities – Fall
Additional Comments
Event Contacts
Primary Event Contact

If someone other than the main on-site contact listed below should be your primary contact for communications regarding the conferences, please provide the following information:
Name

First NameLast Name
Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Email
example@example.com
On-Site Contacts

First complimentary registration with exhibitor package and some sponsorships.
Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Email
example@example.com
Please check the conference(s) registrant is attending:

SpringFall
Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Email
example@example.com
Please check the conference(s) registrant is attending:

SpringFall
Second complimentary registration with exhibitor package and platinum sponsorship.
Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Email
example@example.com
Please check the conference(s) registrant is attending:

SpringFall
Additional Booth/Conference Attendees

Additional fee of $750 (member cost) per attendee.
Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Email
example@example.com
Please check the conference(s) registrant is attending:

SpringFall
Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Email
example@example.com
Please check the conference(s) registrant is attending:

SpringFall
Complimentary Registrations

For Platinum, please list three, for Gold, please list two, for Silver and bronze sponsors, please list one.
Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Email
example@example.com
Please check the conference(s) registrant is attending:

Virtual
Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Email
example@example.com
Please check the conference(s) registrant is attending:

Virtual
Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Email
example@example.com
EPCOR will invoice you for your selections upon receipt of this completed form
Should be Empty:

Exhibit and Sponsor Form

Exhibit at EPCOR Conferences

Sponsor EPCOR Conferences

Event Contacts

Primary Event Contact

On-Site Contacts

Additional Booth/Conference Attendees

Complimentary Registrations