2025 Spring Conference: Exhibitor, Sponsor, and Non-Booth Registration 2025 Spring Conference & Expo: Exhibitor & Sponsor Registration "*" indicates required fields Company InformationCompany Name:*Company Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Brief Description of Company Products or Services:*Primary Contact Name:* First Last Primary Contact Email:* Primary Contact Phone:*Registration Type* I want to exhibit I want to be a sponsor SOLD OUT: I want to attend without a booth or sponsorship Exhibitor Type* Exhibitor Partner - $1,199 Exhibitor Non Partner - $1,399 All-In Partner - $3,500 Choose Your Sponsorship*Make Your SelectionWednesday Education SponsorOpening Night Reception Food SponsorOpening Night Reception Drink SponsorOpening General Session SponsorThursday AM Education SponsorThursday PM Education SponsorConference Lunch SponsorDueling Pianos Networking Event SponsorDueling Pianos Dinner SponsorDueling Pianos Drink SponsorClosing Keynote SponsorClosing Keynote Bloody Mary & Mimosa Bar SponsorClosing Keynote Breakfast SponsorBreak/Refreshment Sponsor - WednesdayBreak/Refreshment Sponsor - Thursday AMBreak/Refreshment Sponsor - Thursday PMPre-Conference Workshop SponsorPre-Conference Boxed Lunch SponsorAll sponsorships include registration for 2 company representatives. Up to two additional representatives can be added for $399 each. Non-Booth Registration* 1 Rep - $1,000 2 Reps - $1,399 3 Reps - $1,798 4 Reps - $2,197 Maximum of 4 reps allowed. Registration Add-OnsI want my company's name on the Golden Ticket!*Drive traffic to your booth by adding your company name to the Golden Ticket. Attendees must have you initial the Golden Ticket during the Expo. Attendees enter in to cash prize drawings via their completed Golden Tickets. Yes - $250 No I want to purchase Lead Retrieval*Scan the badge QR code to obtain and export attendee contact information (name, title, facility, and email address). Price reflects $50 advance purchase discount! Yes - $300 No Attendee/Representative InformationEach name and title will appear exactly as entered on the conference badges. Badges will not be reprinted due to typos. Number of Representatives*Make a selection1234Registration include two company representatives. Additional reps can be added for $399/person. Max 4 reps allowed per company. Rep 1 Name:* First Last Rep 1 Email:* Rep 1 Title:*Rep 2 Name:* First Last Rep 2 Email:* Rep 2 Title:*Rep 3 Name:* First Last Rep 3 Email:* Rep 3 Title:*Rep 4 Name:* First Last Rep 4 Email:* Rep 4 Title:*Registration Receipt & Payment InformationYou will receive a registration receipt upon submission of this form. If you select to pay via check, you will receive an additional invoicing email from taylor@whcawical.orgHow Would You Like to Pay?* Credit Card Mail in a Check TOTAL AMOUNT DUE: $0.00 Service Charge for Credit and Debit Payments: Price: $0.00 Credit Card:*Card Details Cardholder Name
![WHCA/Wical Registrations [logo]](https://registration.whcawical.org/wp-content/themes/wihca-wical-pacdonation/images/logo.png){kind=logo}