CONTACT INFORMATION
Which meeting(s) will you be registering for?
Annual Meeting
Foot Club
Hand Meeting
Shoulder Meeting
Company Name
Requested Booth Number(s)
Booth Signage Should Read
Contact Name
*
First Name
Last Name
Cell Number
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select sponsorship level(s)
Annual Meeting Exhibitor Registration
Silver Annual Meeting Sponsorships
Gold Annual Meeting Sponsorships
Platinum Annual Meeting Sponsorships
Attendee Name 1
Attendee Name 2
Attendee Name 3
Attendee Name 4
Attendee Name 5
Attendee Name 6
Attendee Name 7
Attendee Name 8
Attendee Name 9
Attendee Name 10
Do you want to add any additional attendees? ($85/person)
*
Yes
No
How many additional attendees would you like to pay for?
*
Please Select
1
2
3
4
5
6
7
8
9
10
You will pay for additional attendees at the bottom of the payment page
Please list names of all additional attendees:
*
REGISTRATION & PAYMENT INFORMATION
Please refer to the Exhibitor Prospectus packet for more details about each sponsorship
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Annual Meeting Exhibitor Registration
Booths include 8x8 Meeting space, 6’ Table, 2 Chairs, Company ID sign, Wastebasket (2 Attendees)
$
3,000.00
Number of Booths
Price
1 State
$
3,000.00
2 States
$
5,000.00
Item subtotal:
$
0.00
Annual Meeting Sponsorships
For Opening Reception Exclusive, Presidential Dinner or Presidential Dinner Exclusive, please contact Terri Mendez
$
2,000.00
Quantity
Price
Morning Break
1
$
2,000.00
Morning Break Exclusive
1
$
4,000.00
Breakfast
1
$
1,500.00
Breakfast Exclusive
1
$
3,000.00
Opening Reception
1
$
3,000.00
Item subtotal:
$
0.00
Annual Meeting Sponsorships
For Platinum or Diamond Sponsorships, please contact Terri Mendez
$
6,000.00
Quantity
Price
Silver (6 Attendees)
1
$
6,000.00
Gold (8 Attendees)
1
$
8,000.00
Item subtotal:
$
0.00
Additional Attendees
$85/person; if applicable, this number should reflect the same amount you select above
$
Free
Quantity
0
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Fishing
$235/person; includes lunch and beverage
$
Free
Quantity
0
1
2
3
4
5
6
Item subtotal:
$
0.00
Golf
$270/person; includes lunch
$
Free
Quantity
0
1
2
3
4
Item subtotal:
$
0.00
Credit Card Details
SUBMIT
Should be Empty: