Sponsor Registration Form
Please read and complete all necessary fields in each section of the registration form. Participants will be listed on the Attendee List within 72 hours of receiving the registration form.

Company Name:
Contact Person:
Contact Person's E-mail:
Company Address:
City:	State: Zip:
Contact Person's Phone:
Exhibit Information The exhibit area will be set up using one six foot table per sponsor. Will you require an electrical outlet? Yes No Sponsor Exhibit Setup will take place Sunday, Sept. 14th (4:00pm - 6:00pm)
Name of Attendee:
Name of Spouse/Guest, if applicable:
Attendee E-mail:
Attendee Phone:
Hotel Reservations
Hotel Required?	Yes No
Arrival Date:	Departure Date:
Special Room Requests :
King 2 Beds
All rooms must be prepaid as they are part of the group contract. An invoice will be sent to you for these charges.
Assigned Sponsor Dine-around Monday, Sept. 15th Will you host a dine-around on Monday, Sept. 15th? Yes No
Will you be attending the Welcome Dinner on Sunday, Sept. 14th? Yes No (if yes, please select entree below) Entree Selection Filet Mignon Grilled Scottish King Salmon Vegetarian Entree Selection for guest (if applicable) Filet Mignon Grilled Scottish King Salmon Vegetarian
Special Dietary Restrictions:
Your Conference Confirmation will be emailed to you. Please look over your information and make sure you've filled out all the relevant fields correctly. Press "Submit" to send your registration. Once you hit the "Submit" button the information you entered will appear. Please print that page for your records. If your name does not appear on the attendee list within 72 hours we did not receive your registration.