2023 HCBS Conference Sponsor & Exhibitor Booth Sign-up Form
We are thrilled to have your organization be a 2023 HCBS Conference sponsor or exhibitor!
This conference is your opportunity to: Focus solely on long-term services and supports and home and community-based services • Meet and connect with new prospective customers • Network with state and federal leaders, health plans, community-based organizations, technology, software and innovation companies, and consultants • Build lasting relationships • Gain insight from talking with and listening to attendees • Highlight and strengthen your brand, get your foot in the door, and/or land your next contract. You can reach attendees by (1) Networking live in the exhibit hall (2) Connecting with all attendees in real-time through our conference app (3) Engaging in live sessions & sharing your company materials through our swag bag. Sponsors, packages vary, but they all include the exhibitor benefits. Exhibitors, as part of your package, you will receive an email with a code for 1 "free" attendee registration. Please fill out the following information to secure your organization's place at the 2023 HCBS Conference.
Sponsor Level or Exhibitor Type
Choose whether you are a Sponsor AND/OR an Exhibitor
*
Sponsor
Exhibitor
Sponsor/Exhibitor Company Information
Company
*
Description
one paragraph, 200 words
0/200
Website
Twitter Handle
Facebook URL
LinkedIn URL
High-Resolution Logo
Browse Files
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Sponsor and Exhibitor Contact Information
Company Contact Person (This person will serve as your point of contact with ADvancing States)
*
First Name
Last Name
Company Contact Title
*
Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
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Exhibitor Staff Form
Exhibitor Staff Name/Title (list all names)
Name
First and Last Name
Title
Name
First and Last Name
Title
Name
First and Last Name
Title
Name
First and Last Name
Title
Name
First and Last Name
Title
Name
First and Last Name
Title
Name
First and Last Name
Title
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Exhibitor Payment Form
Exhibitor Payment Form
Payment Method
*
Credit Card (Payment link will be shared after submission)
Check Payable to ADvancing States, 241 18th Street S, Suite 403, Arlington, VA 22202
ACH
Bill.com ePay
Bill.com Payment Network ID
My Products
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Platinum Sponsor
$
52,000.00
Diamond Sponsor
$
42,000.00
Emerald Sponsor
$
32,000.00
Sapphire Sponsor
$
22,000.00
Ruby Sponsor
$
12,000.00
Gold Sponsor
$
9,500.00
Platinum Plus Amount (above $51,500)
$
1.00
**Only for ADvancing States Staff to fill out.**
Quantity
Corporate Booth Fee
$
5,500.00
Non-profit Booth Fee
$
2,500.00
Enter coupon
Apply
Total
$
0.00
Authorize.net Please note, if paying by credit card you must select the submit tab in this section AND continue to the end of the form and select the submit tab again. If both submit tabs are not selected, the reservation will not be secured.
Confirmation Code
To be completed by ADvancing States:
Accounting Code
Description
Amount
2023 Spring Meeting
750 - General Consulting
755 - Spring Meeting
760 - HCBS Conference
771 - MLTSS Institute
2023 HCBS Conference
750 - General Consulting
755 - Spring Meeting
760 - HCBS Conference
771 - MLTSS Institute
2023 MLTSS Institute
750 - General Consulting
755 - Spring Meeting
760 - HCBS Conference
771 - MLTSS Institute
Other
750 - General Consulting
755 - Spring Meeting
760 - HCBS Conference
771 - MLTSS Institute
Submit
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