2021 Annual Conference Exhibitor & Non-Exhibitor February 16, 2021 $0.00 Step 1 of 4 25% Company InformationCompany* Contact Person* Email* Address* City* State* Zip Code* Phone*FaxCellAre you an INAWWA member?* Yes No Do you wish to exhibit?* Yes No Exhibitor InformationExhibitor - INAWWA MemberIncludes listing in Conference Booklet and 2 staff registrations Category II - 10' Booth Space $700.00 Equipment ExpoIncludes listing in Conference Booklet and 2 staff registrations 20x20 20x40 Exhibitor - NON INAWWA MemberIncludes listing in Conference Booklet and 2 staff registrations Category II - 10' Booth Space $1000.00 Extra Staff Registrations (After the 2 listed for the booth) Quantity Price: $100.00 Quantity Will you need electricity?* Yes No NOTE: There is an extra charge for electricity. We will send you paperwork to order this as needed.Type of sales/service* Specific exhibitors you want to STAY AWAY FROM Specific exhibitors you want to BE PLACED NEXT TO NOTE: Both Exhibitors must make the same requestOther Special Requests NON-Exhibitor InformationNon-Exhibitor INAWWA Member, Full Conference First Person First Person, Full Conference $350 Non-Exhibitor INAWWA Member, Full Conference Second Person Second Person, Full Conference Extra Staff Full Conference Registrations, $100 Quantity Price: $100.00 Quantity $100 per extra person Non-Exhibitor, Non- Member First Person Registration $600 NON-Exhibitor NON-INAWWA Member, extra staff registration $250 Quantity Price: $0.00 Quantity Registrant InformationTOTAL Number of Registrants - - please include the two registrants included with your registration and any extra registrants that will be attending:*There are TWO registrants included with your registration. Included registrations (2) plus extra registrations equals Total Attendees. This will allow you to input needed information for ALL those attending.123456789101112Registrant 1Name* Email* Phone* Fax Cell Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Registrant 2Name* Email* Phone* Fax Cell Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 1Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 2Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 3Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 4Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 5Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 6Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 7Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 8Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 9Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Extra Staff 10Name* Email* Phone* Tuesday Lunch* Yes $30 No Wednesday Lunch* Yes $30 No Thursday Hot Breakfast* Yes No Gambold Education Donation Payment must be remitted* I agree to remit payment by April 9, 2021 Total $0.00 Subtotal Options Total 2021 Annual Conference Exhibitor & Non-Exhibitor quantity Add to cart
