2027 Exhibitor Registration

exhibitor registration

2027 turn on the light conference
Company Name
Contact Person

PrefixFirst NameLast Name
Title
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please select your method of payment
Exhibitor Table / Additional Representative Options
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Corporate Exhibitor
$400 + 2.4% processing fee. Includes one table and one representative (may attend workshops and luncheon)

$410.00



Nonprofit Exhibitor
$325 + 2.4% processing fee. Includes one table and one representative (may attend workshops and luncheon)

$333.00



Additional Representative
$175 + 2.4% processing fee. Second representative at the table (may attend workshops and luncheon)

$179.00



Total

$0.00
Registration Rates (please select all that apply)
Rate total
Will the contact person be manning the exhibitor table?
Vegetarian meal requested?
Exhibitor Name

PrefixFirst NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Vegetarian meal requested?
Additional Representative Name

PrefixFirst NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Vegetarian meal requested?
TOTAL DUE: ${rateTotal}

**payment must be received within 15 days of this registration and no later than 4/10 in order to guarantee your space**
Please call 561-687-8115 to submit your credit card information.
Please make check payable to: The Children's Healing Institute

Mail to: 2161 Palm Beach Lakes Blvd, Suite 212, West Palm Beach, FL 33409
Please use the space below for any comments or questions.
All registrations are final and non-refundable.
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

exhibitor registration

Exhibitor Table / Additional Representative Options*

Payment Methods

Exhibitor Table / Additional Representative Options