2019 Southeast Regional Conference Sponsorship
2019 Southeast Regional Conference Sponsorship
Deadline: February 1, 2019
1
Exhibitor & Sponsor Registration
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2
Payment Options
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3
Payment
Organization
*
Title
Title
Mr.
Dr.
Mrs.
Ms.
Primary Contact
Primary Contact
*
First
Last
Job Title
*
Address
Address
*
Street Address
Address Line 2
City
State / Province / Region
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal / Zip Code
Country
United States
Phone
Phone
*
-
###
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Extension
Email
*
Website
*
Sponsorship Benefits
View the
Sponsorship Opportunities
page.
Sponsorship Category
*
Sponsorship Category
Pot of Gold - $2,000
4-Leaf Clover - $1,000
Luck of the Irish - $500
Chasin' Rainbows - $250
Additional sponsorship above $2,000
$
Dollars
.
Cents
Exhibitor display tables are subject to availability and are provided to the Pot of Gold and 4-Leaf Clover sponsors first (included), secondly when obtained in conjunction with other sponsorship levels (for $250), and lastly to other non-sponsor attendees or exhibitors (for $250). When obtained in conjunction with a conference sponsorship, tables include one complimentary registration for an exhibitor to staff the table.
Would you like an Exhibitor Display Table at the Conference (included)?
*
Would you like an Exhibitor Display Table at the Conference (included)?
Yes
No
What are your specific needs for your Exhibitor Display Table?
*
Please provide name and email of the individual(s) who will receive the complimentary registration to staff the table (can be the same as the primary contact) Pot of Gold sponsors may indicate 2 people, 4- Leaf Clover may indicate 1 person. Luck of the Irish and Chasin' Rainbows do not get a complimentary registration.
*
Please indicate all benefits you would like to receive.
Please indicate all benefits you would like to receive.
One exhibitor presentation session during the conference
Sponsor a special event (please call Jamie to give idea of what you would like to sponsor)
Please upload a high-resolution logo for use in print and electronic communications.
Attach Files
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Total