MedStock 2016

Exhibitor Registration

All fields are required

Last Name First Name Middle Initial

Company

Email Address

Mailing Address

City State Zip

Phone

Booth Representatives

Name
Title

Name Title

Registration Fees:

8’ Booth @ $375.00 (Does not include hotel room)
Extra 8’ Booth @ $125.00
10’ x 25’ Vehicle Space @ $375.00 (includes Booth)
Extra Booth Staff @ $50.00 each

Sponsorship Fees:

Diamond Sponsorship @ $10,000.00

Platinum Sponsorship @ $5,000.00

Gold Sponsorship @ $2,500.00

Silver Sponsorship @ $1,500.00

Break Sponsor @ $500.00

In-Kind Donation @ $250.00

No Sponsorship


Yes, I am attending the Banquet

Extra Banquet Tickets for guest - $35 each-
(How many?)