Illinois LICA's 2022 Annual Convention & Members' Meeting: Exhibitor Contract & Sponsorship Form

Illinois LICA's 2025 Annual Convention & Members' Meeting: Exhibitor Contract & Sponsorship Form
Company Name (as you would like it to appear on identification sign)*
Contact Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Payment method:*

Credit Card (4% online convenience fee applies)Mail a checkInvoice me
Will you be exhibiting at the 2025 ILICA Convention?

YesNo
Please choose your exhibit space size:*

Single Booth (includes registration for 2 reps) - 8'x8' ($325)Double Booth (includes registration for 3 reps) - 16'x8' ($600)Non-Member Single Booth (includes registration for 2 reps) - 8'x8' ($450)Non-Member Double Booth (includes registration for 3 reps) - 16'x8' ($750)
Will you need access to an electrical outlet?

YesNo
Preferred exhibit booth locations:
1st Choice:
2nd Choice:
3rd Choice: Type a label
How many additional attendees (more than the allowed representatives listed above) will be attending? *
Please list ALL company representative names, banquet meal choice, and day(s) they are attending*
Additional representative #1:

Full-2 day conference registration ($205)Single day conference registration ($100)
Additional representative #2:

Full-2 day conference registration ($205)Single day conference registration ($100)
Additional representative #3:

Full-2 day conference registration ($205)Single day conference registration ($100)
Additional representative #4:

Full-2 day conference registration ($205)Single day conference registration ($100)
Additional representative #5:

Full-2 day conference registration ($205)Single day conference registration ($100)
Additional representative #6:

Full-2 day conference registration ($205)Single day conference registration ($100)
Will you be sponsoring the 2025 ILICA Convention & Members' Meeting?*

YesNo
Please select all sponsorship opportunities that apply:
Wednesday, Jan. 29

Members' Meeting Dinner $2000
Thursday, Jan. 30

Devotional Program (unavailable) $200Breakfast $2000 (unavailable)Morning Break $500 (unavailable)Afternoon Break $500 (unavailable)Happy Hour $1000Awards Banquet $4000
Friday, Jan. 31

Devotional Program $200 (unavailable)Breakfast $2000Morning Break $500 (unavailable)Ladies Outing $450 (unavailable)Lunch $3000Afternoon Break $500 (unavailable)Happy Hour $1000 (unavailable)Dinner $3000
Other

Wi-Fi & AV $2000
As Needed Sponsorship:
Hospitality Rooms (food & drinks will be an additional charge purchased through the hotel)

Thursday night (unavailable) $100Friday night $100
U of I Campus Tours ($60): January 30, 8am - 12pm
Silent auction items & door prize giveaways are also greatly appreciated for the event. Please indicate below if you will be providing such prizes:
Please mail a check with the total amount shown below to 112 Exchange St., Suite 2, Galva, IL 61434
Total
Please enter the address you wish to have the invoice sent to:

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Please enter the email you wish to have the invoice sent to:
example@example.com
Calculation

Should be Empty:

Illinois LICA's 2025 Annual Convention & Members' Meeting: Exhibitor Contract & Sponsorship Form

Credit Card