LTCAM's 19th Annual Conference Exhibitor Registration

2025 LTCAM Exhibitor/Sponsor Registration

REGISTRATION DEADLINE : MARCH 15, 2025
Please join us on May 13, 2025, for the Long Term and Continuing Care Association of Manitoba's 19th Annual Conference - Diversity: Celebrate the Difference

Before continuing with this form please have your Membership Status with LTCAM, Company Logo and Certificate of Insurance available.

For the final cost please wait for our invoice to be sent on completion of this form. For early Registrants invoices will be issued in January 2025.

To view any costs associated with having a booth please visit our Website at https://www.ltcam.mb.ca/exhibitor
Company Name*
Full Name*

First NameLast Name
Job Title*
E-mail*
example@example.com
Phone Number*
Extension*

YesNo
Extension
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Membership Status*

ActiveAssociateCommercialNon Member
Active and Associate Members are care facilities.

Not sure about your membership status please email Lexie at lgraham@ltcam.mb.ca

Sponsorship Level
I will be only be sponsoring the conference.*

I WILL NOT be attending the conferenceI will attend the conference
For information on Sponsorship please see below:

https://www.ltcam.mb.ca/exhibitor.htm

Booth Attendant Information

First Booth Attendant is Free with purchase of a booth. Additional Booth Attendants: $65 with Lunch or $40 without Lunch.
Number of Booth Attendants*
Name *

First NameLast Name
Job Title *
Email *
example@example.com
Lunch *
Allergies or Dietary Concerns*

YesNo
Type of Allergies or Dietary Concern
Booth Attendants

Booth Information

Included: 8' X 10' space, 2 chairs (additional chairs $10 each). LTCAM Members $700/booth Non Members $800/booth
Number of Booths*
If your sponsorship includes a free booth, please include it in your booth selection.
Table Selection*
Table Selection - 2*
Table Selection - 3*
Dedicated Electrical*
Price is per booth
Hardwired Internet*
Price is per booth
Additional Chairs (Please note 2 are automatically included with the booth)*
$10/chair
Small Waste Basket*
Size 32" * 24"

Invoicing

Who is your contact for Accounts Payable? If that's you please put your information in again! We will be invoicing starting January 2025.
Name*

First NameLast Name
Job Title*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Extension*

yesno
Extension

What we need from you

If your current Certificate of Insurance will not be valid for the conference(May 13, 2025) please upload your logo in both locations and we will contact you in the new year for an updated COI or if you only Sponsoring the conference.
Certificate of Insurance*

If your current Certificate of Insurance will not be valid for the conference(May 13, 2025) please upload your logo in both locations and we will contact you closer to the conference for an updated COI or if you only Sponsoring the conference.
Cancelof
Company Logo*

jpgs and png only
Cancelof

Final Information

Congratulations, you made it! Upon receipt of this form, a confirmation email will be sent to the main contact. The invoice will be sent to your Accounts Payable(Please DO NOT send payment until invoice is received). We will be invoicing starting January 2025. We will send all your representatives a conference exhibitor package in March 2025. We look forward to seeing you on MAY 13, 2025. If you have any questions please contact us at info@ltcam.mb.ca
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2025 LTCAM Exhibitor/Sponsor Registration