Company or Organization Name * Please spell exactly how you would like for it to appear on your name badge, the convention program, and/or any other event recognition. Primary Contact Name * Primary Contact Cell Phone/ Day-Of Phone * Primary Contact Email Address * Mailing Address * City * State * Select State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Please select the exhibitor/sponsorship packages that best fit your needs. An online invoice will be sent to the contact email listed above upon registration. If you would like to purchase additional booth space (ex. 20' x 10' instead of 10' x 10', or have any special requests, please note those in the comment section.) Which Exhibitor/Sponsorship Package will you be selecting? You may select multiple packages. * Universities and Affiliated Organizations Only: $500 Gold Emblem Sponsor, Exhibitor: $750 One Star Sponsor, Exhibitor & Workshop: $1,500 Two Star, Individual Session Sponsor: $3,000 Three Star, Exhibitor and Teacher Break Area Sponsor: $5,000 Three Star, Talent Sponsor: $6,000 Four Star, State Officer Candidate Sponsor: $12,000 Four Star, Keynote Speaker Sponsor: $12,000 Five Star, Presenting Convention Sponsor: $25,000 Check all that apply. Will you need electricity for your booth? * Yes No If you would like electricity access, there is no additional fee. HOW MANY LUNCHES WILL YOU NEED FOR MONDAY, MARCH 23? 012 HOW MANY LUNCHES WILL YOU NEED FOR TUESDAY, MARCH 24? 012 All packages include 2 free exhibitor registrations. Exhibitor Information*If you need to add additional exhibitors, please note them in the Comments/Special Requests box. Exhibitor Name * Exhibitor Title * Exhibitor Email * Exhibitor Phone * Comments or Special Requests Leave this field blank
