2018 Management Conference Open Exhibitor Registration

Company or Organization*

Name of Person Registering (not necessarily person attending)*

First NameLast Name

Job Title*

Job Title

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Attendee Name 1

Attendee Name 2

Attendee Name 3 (if applicable)

I would like my logo (.eps or .ai format) and 50-word description to appear in the exhibitor section of the conference program and will send that information to doug@uacnet.org no later than March 30.*

YesNo

I would like my company/organization to be listed in the conference program like this:*

Please request an Exhibit Space Number (indicate your top three requests among the 39 spaces offered). Space assignments will be made official by March 30). Map is viewed here: http://conference.uacnet.org/management-conference-exhibitor-map-list-of-exhibitors-st-george/*

I agree to the Annual Convention Terms of Agreement found here: http://conference.uacnet.org/contract-terms-of-agreement/*

Yes

Please submit, print and send your check made out to Utah Association of Counties to 5397 S. Vine Street, Murray, UT 84107 or you may also present it at the Registration Desk at the Conference.

Standard Exhibit Space (includes 2 attendees):$700.00

Additional Attendee$200.00

Quantity

Non-County Official Attendee$405.00

Quantity

General Luncheon Add-On (Wednesday, Apr 25 at Noon)$25.00

Quantity

Enter coupon

Total $0.00