Alternatives 2021 Exhibitor Form

Alternatives 2021 Conference Exhibitor Form

July 8, 10, 15 and 17, 2021
Exhibits will be listed in the Alternatives Conference program and will be available on the Alternatives website.
Name of Sponsoring Organization (or Exhibit Title) for Conference Program and Alternatives Website*
Contact Name*

First NameLast Name
Website (if applicable)
State/Country*
Email*
example@example.com
Phone Number*

Area CodePhone Number

Exhibit Options*

Exhibit fee for non-peer organizations: by June 30, 2021$250.00

Exhibit fee for peer organizations:$50.00

Exhibit fee for individual peers$30.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

After you have registered for an exhibit, please email your exhibit materials to info@ncmhr.org. Exhibit materials may include: a link to your website; one or two handouts as pdfs; and/or a link to a video that is posted on your website, YouTube, Vimeo, or another platform. (Ideal length of video: 2-5 minutes)
Registration by check or purchase order:

Email info@ncmhr.org for instructions if you would like to pay by check or purchase order. Additional conference information is on the website: https://www.alternatives-conference.org/ Donations are welcome to help cover the cost of organizing the conference. https://power2u.org/donations-ncmhr
Should be Empty:

Alternatives 2021 Conference Exhibitor Form