2018 Annual Education Conference Exhibitor Registration

November 1 & 2, 2018
Hotel Murano, Tacoma, WA
Questions? Contact Michi Wohns at 206-369-7770 or
michiwcarlson@gmail.com

Primary Contact

Primary Contact Name

First Last

Primary Contact Title

Primary Contact Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Contact Phone

Primary Contact Email

Primary Booth Representative (Onsite Contact)

Primary Booth Rep Info

Primary Booth Representative information is the same as the Primary Contact

Primary Booth Rep Name

First Last

Primary Booth Rep Title

Primary Booth Rep Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Booth Rep Phone

Primary Booth Rep Email

Please note the number of booth representatives that are allowed with each corresponding sponsorship level:

Vendor - 1
Wi-Fi - 1
Break - 2
Lunch/Breakfast - 2
Internet - 2
USB - 3
Registration Table - 3
Reception - 4
Diamond - 5
Platinum - 6

Any sponsorship level can add on to the number of booth representatives that are included in their package at a cost of $200 per additional representative.

Booth Representative Names

Please indicate the names of the representatives who will be at your booth beyond the Primary Booth representative.

Product/Service to be dispalyed

Please indicate companies you desire NOT to be located adjacent to (i.e. competitors)

Exhibit Package

Optional - Additional booth representatives

One booth representative is allowed with your exhibit package. Each additional booth representative is $200.00 each.

Additional booth representative names

Please list the names of any additional booth representatives you have chose to purchase admission for.

Optional - Program Advertising Opportunities

TOTAL

$0.00

CREDIT CARD

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

2018 Annual Education Conference Exhibitor Registration

Company Information

Primary Contact

Primary Booth Representative (Onsite Contact)

WASCA