CONTACT INFORMATION
Which meeting(s) will you be registering for?
Annual Meeting
Foot Club
Hand Meeting
Shoulder Meeting
Company Name
Booth Signage Should Read
Requested Booth Number(s)
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)
Foot Club, Hand or Shoulder Meeting
Annual Meeting Exhibitor Registration
Silver Annual Meeting Sponsorships
Gold Annual Meeting Sponsorships
Attendee Name 1
Attendee Name 2
Attendee Name 3
Attendee Name 4
Attendee Name 5
Attendee Name 6
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
Please check each box to see possible options for each registration item
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Annual Meeting Exhibitor Registration
Starting at $3,000; Booths include 8x8 Meeting space, 6’ Table, 2 Chairs, Company ID sign, Wastebasket (4 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
Starting at $2,000; For $12,000 Platinum Sponsorship (8 Attendees), please contact Terri Mendez
$
2,000.00
Quantity
Price
Breakfast
$
2,000.00
Silver (4 Attendees)
$
6,000.00
Gold (6 Attendees)
$
10,000.00
Item subtotal:
$
0.00
Foot Club AND Hand Meeting Sponsorships
Stating at $900; Booths include 8x8 Meeting space, 6’ Table, 2 Chairs, Company ID sign, Wastebasket (2 Attendees)
$
900.00
Quantity
Price
Bronze
1
$
900.00
Silver
1
$
1,200.00
Gold
1
$
1,500.00
Breakfast
1
$
2,000.00
Break
1
$
1,000.00
Lunch
1
$
2,000.00
Item subtotal:
$
0.00
Foot Club OR Hand Meeting Sponsorships
Starting at $500; Booths include 8x8 Meeting space, 6’ Table, 2 Chairs, Company ID sign, Wastebasket (2 Attendees)
$
500.00
Quantity
Price
Bronze
1
$
500.00
Silver
1
$
650.00
Gold
1
$
800.00
Breakfast
1
$
1,200.00
Morning Break 1
1
$
600.00
Lunch
1
$
1,200.00
Mid-Afternoon Break 1
1
$
600.00
Item subtotal:
$
0.00
Shoulder Meeting Sponsorship
Starting at $600; Booths include 8x8 Meeting space, 6’ Table, 2 Chairs, Company ID sign, Wastebasket (2 Attendees)
$
600.00
Quantity
Price
Bronze
1
$
600.00
Silver
1
$
800.00
Gold
1
$
1,000.00
Breakfast (does not include exhibit booth cost)
1
$
1,200.00
Break (does not include exhibit booth cost)
1
$
600.00
Item subtotal:
$
0.00
Additional Attendees
$85/person
$
Free
Quantity
0
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Fishing
$230/person; including lunch and beverage
$
Free
Quantity
0
1
2
3
4
5
6
Item subtotal:
$
0.00
Golf
$255/person; includes lunch
$
Free
Quantity
0
1
2
3
4
Item subtotal:
$
0.00
Credit Card Details
SUBMIT
Should be Empty: