Company * Point of Contact (POC) POC First Name * POC Last Name * POC Phone Number * POC Email Address * I am interested in supporting the course as a: * Exhibitor Book Vendor General Sponsor Exhibitor Registration Exhibiting Rep 1 Rep 1: First Name * Rep 1: Last Name * Rep 1: Email Address * Rep 1: Phone Number * Exhibiting Rep 2 Rep 2: First Name Rep 2: Last Name Rep 2: Email Address Rep 2: Phone Number Will there be additional representatives exhibiting? *Additional Representative: $250 (Standard exhibit includes 2 badges) Yes No Calculate Exhibit/Sponsorship Fees Select your exhibit type: Exhibit (1-Day) - 2 Reps ($1,500) Exhibit (2-Days) - 2 Reps ($2,000) Exhibit (3-Days) - 2 Reps ($2,500) Book Vendor - No Donation ($1,500) Book Vendor - Donation (Donation of books in lieu of registration) Additional Representative - $250 (Standard exhibit includes 2 badges) Industry Supported Breakfast and Lunch Symposia Breakfast Sponsor (10,000) Lunch Sponsor ($20,000) Refreshment Sponsor ($3,000) Select your Promotional and Marketing Opportunities Platinum (6,000) Gold ($5,000) Silver ($4,000) Bronze ($3,000) Exhibit Dates/Times AM Day 1 PM Day 1 AM Day 2 PM Day 2 AM Day 3 PM Day 3 Total Amount Owed: * Please select your method of payment: * Check Credit Card Wire Transfer/ACH Leave this field blank
