Page 24 - July August 2017 Vol 35 No 2

2017 TCAPWA & SWANA
Annual Joint Conference

NOVEMBER 7- 9, 2017 – KNOXVILLE

HOLIDAY INN WORLD’S FAIR PARK & CONFERENCE CENTER

EXHIBITOR/SPONSOR REGISTRATION FORM

Company Name__________________________________________________ Contact_____________________________________________________
Address___________________________________________________________________________________________________________________
City___________________________________________________________ State ________________________ Zip____________________________
Phone ______________________________ Fax ______________________________ Email_______________________________________________

Agency Affiliation (check all that apply): ___ TCAPWA ___ SWANA ___ Young Professional (35 and under)

SPONSORSHIP ___________________________________ = $__________
SPONSORSHIP LEVEL
Please see Sponsorship Information Sheet for benefits

PLATINUM - $2500 (Includes Two Vendor Attendees)
GOLD - $1500 SILVER - $1000 BRONZE - $500

BOOTH RENTAL (One Company Per Booth) ______________ @ $600 = $___________

Includes Two Vendor Attendees

VENDOR ATTENDEES: 1)_________________________________
2)_________________________________
Includes: Wednesday Branch Reception
and Thursday Breakfast and Lunch

ADDITIONAL VENDOR ATTENDEE(S): ______________ @ $100 = $___________

Includes: Wednesday Branch Reception 3)_________________________________
and Thursday Breakfast and Lunch

4)_________________________________

5)_________________________________

Booth Electrical Outlet ______________ @ $50 = $___________

EQUIPMENT SPACE & BOOTH RENTAL (One Comp any Per Space/Booth) ______________ @ $500 = $___________

Additional Equipment Space/Booth Rental ______________ @ $250 = $___________

Closing Day Event Ticket ______________ @ $60 = $___________

Booth Preference (one paid exhibitor per space) #1 _______ #2 _______ #3 _______

GOLF REGISTRATION (Tuesday, Nov. 7) ______________ @ $50 = $___________

GOLF Individual Entry (Three Ridges Golf Cours e)

8:30 a.m. Shotgun Start (Lunch & Beverages included)

TCAPWA & SWANA THANK YOU! TOTAL AMOUNT ENCLOSED $ ____________________

INSURANCE IS REQUIRED: VENDORS MUST include with Exhibitor Registration Form and Check a copy of your current general
liability insurance set at a minimum of $1,000,000 per occurrence and $2,000,000 aggregate.

Event Hotel: Holiday Inn World’s Fair Park, (844) 419-4621. Conference rate ($117) is available until October 8, 2017.
For additional information contact Mark Miller at (865) 850-1534 or email markmiller@charter.net. Make checks payable to TCAPWA and
mail to Mark Miller, P.O. Box 1350, Pigeon Forge, TN 37868 or register online at Tennessee.apwa.net. No invoices will be issued for fees.

YOU WILL NOT HAVE A BOOTH IF PAYMENT IS NOT RECEIVED BY THE REGISTRATION DEADLINE – OCTOBER 7, 2017