2023 Convention Exhibitor/Sponsorship 2023 Exhibitor/Sponsor Registration Form General Information Name of Business* Business Address* Street Address City State / Province / Region ZIP / Postal Code Company Website Company Representative* First Last Representative Email* Representative Phone*Select Option* Register as an Exhibitor/Sustaining Member Continue to Sponsorship Options (Non-Exhibitor) Exhibit Space InformationSelect a table option* 1 Table - $150.00 2 Table - $240.00 3 Table - $315.00 4 Table - $375.00 Table 1 Price: Table 2 Price: Table 3 Price: Table 4 Price: Add Electricity to your exhibit space? ($55.00) Yes No Please note, if electricity is required for your display there will be an additional charge of $55.00. This is a Tan-Tar-A service fee required for installing hookups to displays.Do you have a tabletop display over 3 ½ feet? Yes No Do you have floor banner/s or a backdrop over 6 ½ feet? Yes No Sustaining Membership We do not need an exhibit space or table. Please register us as a Sustaining Member to be listed in the exhibitor section of the convention program. ($150) Sustaining Membership Price: Total $0.00 Please select an option and click "Next." 2023 Tiered Sponsorship Options Select a Sponsorship Diamond Sponsor - $4000 + Platinum Sponsor - $2,000-$3,999 Gold Sponsor - $1,000-$1,999 Silver Sponsor - $750-$999 Bronze Sponsor - $500-$749 General Sponsor - $250-$499 $4,000 + $2,000-3,999 $1,000-$1,999 $750-$999 $500-$749 $250-$499 MBA Golf Tournament Sponsorship Options MBA Golf Tournament Sponsor $500.00 - MBA Golf Tournament Sponsor (1 available) $100.00 - MBA Golf Tournament Hole Sponsor(18 available) $50.00 - Give Away/Drawing Items (Golf Balls, Towels, etc.) MBA Golf Tournament Sponsor (1 available) Price: MBA Golf Tournament Hole Sponsor Price: Give Away/Drawing Items (Golf Balls, Towels, etc.) Price: We do not wish to select a sponsorship at this time. $0 We do not wish to select a sponsorship at this time. Total $0.00 Payment Option*Please select an option and click "Submit." Continue To Payment by Credit Card Submit Information: Request Payment by Check Credit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name Questions? Contact the following: Exhibitor/Sustaining Member Registration: Steve Litwiller (Exhibitor Chair) slitwill1956@gmail.com Sponsorship Only: Kurt Bauche (Secretary/Treasurer): kdbauche76@yahoo.comPhoneThis field is for validation purposes and should be left unchanged. Δ
