2023 Annual Conference Exhibitor Registration Form November 21, 2022 Step 1 of 3 33% Company InformationCompany*Contact Person*Email*Address*City*State*Zip Code*Phone*FaxCell Exhibitor InformationExhibitor -INSIDE Exhibit Hall- INAWWA MemberEach Booth Includes 2 Staff Registrations 8x6 Regular Booth ($800) 10x6 Regular Booth ($900) 8x6 End Cap Booth ($850) 10x6 End Cap Booth ($950) Extra Booths Quantity Price: $800.00 Quantity Extra Booths Quantity Price: $850.00 Quantity Extra Booths Quantity Price: $900.00 Quantity Extra Booths Quantity Price: $950.00 Quantity Exhibitor -INSIDE Exhibit Hall- INAWWA NON MemberEach Booth Includes 2 Staff Registrations 8x6 non member Booth ($1000) 10x6 non member Regular Booth ($1100) Extra Booths Quantity Price: $1,000.00 Quantity Extra Booths Quantity Price: $1,000.00 Quantity Exhibitor -HALLWAY- INAWWA MemberEach Booth Includes 2 Staff Registrations 8x6 Regular Booth ($800) 10x6 Regular Booth ($900) 10x10 Regular Booth ($1200) 8x6 End Cap Booth ($850) 10x6 End Cap Booth ($950) 10x10 End Cap Booth ($1,250) Extra Booths Quantity Price: $800.00 Quantity Extra Booths Quantity Price: $850.00 Quantity Extra Booths Quantity Price: $900.00 Quantity Extra Booths Quantity Price: $950.00 Quantity Extra Booths Quantity Price: $1,200.00 Quantity Exhibitor -HALLWAY- INAWWA NON MemberEach Booth Includes 2 Staff Registrations 8x6 Booth ($1000) 10x6 Booth ($1,100) 10x10 Booth ($1,400) Extra Booths Quantity Price: $1,000.00 Quantity Extra Booths Quantity Price: $1,100.00 Quantity Extra Booths Quantity Price: $1,400.00 Quantity Registrant InformationTOTAL Number of Registrants - - please include the two registrants included with your registration and any extra registrants that will be attending:There are TWO registrants included with your registration. Included registrations (2) plus extra registrations equals Total Attendees. This will allow you to input needed information for ALL those attending. *PLEASE note- when you get to "Extra Staff 1" please include the total number of Extra Staff so that it tallies up correctly.123456789101112Registrant 1NameEmailCellTuesday Lunch Yes $30 No Tuesday Award Lunch- Table of 8 Yes $200 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoRegistrant 2NameEmailCellTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 1Extra Staff FULL Conference ($185 per person Full Registration) Quantity Price: $185.00 Quantity This is for extra staff only. Remember 2 people come with your booth fee.Extra Staff ONE DAY ($135 per person Full Registration) Quantity Price: $135.00 Quantity This is for extra staff only. Remember 2 people come with your booth fee.NameEmailTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 2NameEmailTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 3NameEmailPhoneTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 4NameEmailTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 5NameEmailTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 6NameEmailTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoTuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 7NameEmailTuesday LunchYes <b>$30</b>NoWednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 8NameEmailTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 9NameEmailTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoExtra Staff 10NameEmailTuesday Lunch Yes $30 No Wednesday Lunch Yes $20 No Thursday Breakfast Yes $20 No Tuesday Evening ReceptionYesNoWednesday Evening ReceptionYesNoPayment I agree to remit payment ASAP To Secure My Spot Total $0.00 Subtotal $0.00 Options $0.00 Total $0.00
