2017 Summit to Sound Exhibitor Agreement


APRIL 27-28, 2017
BELL HARBOR INTERNATIONAL CONFERENCE CENTER | SEATTLE, WA

Please complete the form below to exhibit at the 2017 WA-ACEP Summit to Sound

or...

Maximize Your Presence …
Take Advantage of these Exclusive Opportunities!

Your Support Package includes verbal recognition at the meeting, print acknowledgements in the conference brochure, e-syllabus, and on the WA-ACEP website!

DIAMOND SUPPORTER: $5,000

Welcome Reception - Sold
Your company name printed on cocktail napkins and on the homepage of the conference e-syllabus

GOLD SUPPORTER: $3,000

Conference Registration - Sold
Your company name printed on conference name badges and on the homepage of the conference e-syllabus

SILVER SUPPORTER: $2,000

Thursday Lunch- Sold
Friday Lunch- Sold

BRONZE SUPPORTER: $1,500

Breakfast and Breaks

EXHIBIT SPACE ONLY: $1250

PLEASE NOTE: Exhibit booths sold separately. To secure your exhibit booth, please choose the option below in the "Exhibit Rate" section.

Company Information

Company Name:
Company Website:

Primary Contact

Primary Contact Name:
Primary Contact Title:
Primary Contact Address:
Primary Contact Phone:
-
Primary Contact E-mail:*

Primary Booth Representative Contact

(This information will be published and distributed to attendees)

Primary Booth Rep Name:
Primary Booth Rep Title:
Primary Booth Rep Address:
Primary Booth Rep Phone:
-
Primary Booth Rep E-mail:

Representatives Staffing Your Booth

Rep #1 Name:
Rep #2 Name:
Two allowed, additional representatives $150 each
Rep #3 Name:
Rep #4 Name:

Exhibit Information

Product/Service to be displayed:
Please indicate companies you desire NOT to be located adjacent to (i.e. competitor):

Exhibiting Rates

2017 Summit to Sound Exhibit Rate:
Total:
Please verify:

Upon completing the form and clicking "submit," you will be directed to PayPal to make the Exhibitor Agreement payment.

INQUIRIES
Contact Pauline Proulx, Chapter Executive, at the Washington ACEP office at 206-956-3648 or send emails to plp@wsma.org