Exhibitor Conference Registration | Physical Therapy Association of Alabama

01/12/2012 - 02/15/2012

04/13/2012 - 04/15/2012

08/17/2012 - 08/18/2012

Exhibitor Information

Company Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Local Contact Person:
Phone:
Email Address:
Name Of Individual Attending The Conference For Credit:
Names Of Persons "manning" the booth:

Registration Fees

A)	Conference Sponsorship ( includes booth )
		$3,000 - Platinum Partner (Reception/Awards ceremony sponsor and 5 Attendees for CEUs)
		$2,000 - Gold Partner (Reception/Awards ceremony sponsor and 3 Attendees for CEUs)
		$1,500 - Silver Partner (Reception/Awards ceremony sponsor and 3 Attendees for CEUs)
		None

B)	Exhibitor Space Only
		$600 - Single 6 x 8 (1 CEU attendee, 1 booth attendee)
		$1,000 - Double 12 x 8 (1 CEU attendee, 2 booth attendees)
		None
		$50 - Per Person, Additional Booth Attendee (Please Indicate The Names Above)

C)	Spouse/Guest Pass
		$50 Per Spouse/Guest Pass - No CEUs Awarded

D)	Meal Sponsor
		$500 - Reception
		$500 - Breakfast
		$500 - Lunch

E)	We Will Contribute:
		Lanyards
		Two Pocket Folders
		Other (specify)