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Note - Fields marked with a * are required.
Contact Person*
Email*
Phone*
Company*
Address*
City*
State*
Zip*
Type of Company
If you would like to increase your exposure at the show and become a sponsor, please choose from the below options:
No thank you, I would not like to be a sponsor at this time.
Show Sponsor - $30,000
Keynote Speaker Sponsor - $20,000
Executive Luncheon Sponsor - $15,000
Registration Sponsor - $8,000
Seminar Sponsor - $5,500
Supporter Sponsor - $3,500
Friend Sponsor - $1,750
Buddy Sponsor - $1,500
We will be having the following pavilions on the show floor, please specify which you would like to be included in:
None
Green Industries
Workforce Development
Economic Development
Healthcare
Manufacturing
Technology
Exhibit space is on a first come basis. A limited number of 8', 10', and 20' booths are available.
Please check one of the following:
8' Booth - $650
8' x 10' booth has pipe and drape on both sides and back of booth; six foot table, tablecloth, skirt, and two chairs provided.
10' Booth - $750
10' x 10' booth has pipe and drape on both sides and back of booth; eight foot table, tablecloth, skirt, and two chairs provided.
20' Booth - $1500
20' x 10' booth has pipe and drape on both sides and back of booth; two eight foot tables, tablecloth, skirt, and two chairs provided.
Please measure your displays before selecting booth size to ensure that they will fit in the space provided. *Registration and payment must be received by September 1st, 2010 to receive the 2010 sponsor & exhibitor rates.
Outdoor exhibit space is available on a first come basis for $1,000. Please call HIA-LI to discuss availability. No refunds or cancellations for weather related conditions
Do you require electricity? (You must supply your own extension cord.)
Single Outlet 500 Watts - $110
Single Outlet 2000 Watts - $125
Quad Box 500 Watts - $140
Quad Box 2000 Watts - $160
No
Do you need Internet access? After May 15th, a late fee of $50 will be added.
Yes - $100 per connection (SCCC has wireless internet access)
No
Would you like to increase your ROI and convert quality leads to sales by ordering LEAD RETRIEVAL?
No
Swiftium Offline - $195
Swiftium Online - $250
Do you have heavy equipment?
No
Yes (500+ lbs)
If you checked YES and need a forklift, you must arrive by 1pm on May 25th to set up your exhibit. Otherwise, additional charges will apply.
Do you have any special requirements?
If you have additional decorating needs, please contact Luke at L.I. Decorating at 631-585-8512.
METHOD OF PAYMENT*
Membership & Scholarship Fund Donation
Total Amount:
(Include Sponsorship, Booth, Electricity, Internet & Lead
Retrieval if requesting)
Visa
Master Card
American Express
Paying by check
Card Holder's Name*
Credit Card Number*
Expiration Date*
mm/yy
NOTE: If sending payment by check, please complete, print this form and mail to the address below.
Cancellations will be accepted up until May 15th, 2011. No refunds will be given after this date.
VERY VERY IMPORTANT!! ALL EXHIBITS MUST BE COMPLETELY SET UP ON WEDNESDAY, MAY 25TH, 10AM - 4PM. NO SET UPS ON THE DAY OF THE SHOW (MAY 26TH) - NO EXCEPTIONS. SCCC SPORTS & EXHIBITION COMPLEX - LIE EXIT 53, 1/4 MILE SOUTH ON WICKS RD.
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