2018 KNA Annual Conference Sponsorship & Exhibitor Form

2018 KNA Annual Conference

Sponsor & Exhibitor Registration

THANK YOU for supporting Nursing - the Most Trusted Profession!

Letter from KNA Executive Director and KNA President

Sponsorship Benefits & Levels

Exhibitor Booth Information

Reservation Form (to use if you wish to pay by check)

IRS 501 C 3 form example

Please select what you would like to be included as: *

Sponsor Exhibitor Both a Sponsor and a Exhibitor

I will need access to electricity for my exhibit booth.

Yes No

Name (Point of Contact for Event): *

First Name Last Name

Organization Name (As you would like it to appear on Promotional Materials): *

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number: *

- Area Code Phone Number

Email: *

example@example.com

Name of person who will provide camera-ready art

First Name Last Name

Email of person who will provide camera-ready art

example@example.com

Phone Number of person who will provide camera-ready art

- Area Code Phone Number

Add any additional comments you have here:

Deadline: To ensure that your organization is listed in conference promotional materials - REGISTER TODAY! Limited space for Exhibitor Booths. Deadline for all Sponsors & Exhibitors is Monday, October 1.

Confirm Participation Levels *

Sponsor Level - Platinum $ 20,000.00

Sponsor Level - Gold $ 10,000.00

Sponsor Level - Silver $ 5,000.00

Sponsor Level - Iron $ 2,500.00

Sponsor - Wine & Cheese Poster Session $ 1,500.00

Sponsor Level - Bronze $ 1,000.00

Sponsor Level - Copper $ 500.00

Sponsor Level - Scholarship Sponsor $ 300.00

Sponsor Level - Friend of KNA $ 100.00

Exhibitor Package - Both Days - Nov. 1 & 2 $ 650.00

Exhibitor Package - One Day $ 400.00

Day

Non-Profit Exhibitor Package - Both Days - Nov. 1 & 2. Must attach IRS 501 C 3 designation (see example) $ 500.00

Non-Profit Exhibitor Package - One Day. Must attach IRS 501 C 3 designation (see example) $ 275.00

Day

Exhibit Booth Electrical Outlet $ 50.00

Special Exhibitor Booth - Wall Space for Stand-Alone Display $ 100.00

Additional Host for Exhibitor Booth - $50 per person $ 50.00

Quantity

Payment addition $ 450.00

Total $ 0.00

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

If applicable, please attach your IRS 501 C3 designation

Browse Files

You also have the option of mailing your IRS 501 C3 designation to the Kentucky Nurses Association at:

305 Townepark Circle

Suite #100

Louisville, KY 40243

If you are paying with check, please make checks payable to KNA- Kentucky Nurses Association. Please print out your completed form and mail it with your payment to: KNA Office - 305 Townepark Circle, Suite 100, Louisville, KY 40243.

Only credit cards are accepted online!