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2021 TCAPWA & SWANA Annual Conference

              NOVEMBER 1-3, 2021 – MEMPHIS

  SHERATON DOWNTOWN HOTEL AND RENASANT CONVENTION CENTER

EXHIBITOR/SPONSOR REGISTRATION FORM

Company Name__________________________________________________ Contact_____________________________________________________
Address___________________________________________________________________________________________________________________
City___________________________________________________________ State ________________________ Zip____________________________
Phone ___________________________________________________ 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 - $3000 (Includes Two Vendor Attendees) / GOLD - $2000 / SILVER - $1000

BOOTH RENTAL (One Company Per Booth or Equip	me	nt Space)                             ____________ 	@	 $800	=	$__________

MUST HAVE BOOTH TO RESERVE EQUIPMENT SPACE
     Includes Two Vendor Attendees (one gift item per booth rental)

    Booth Preference #1 _______ #2 _______ #3 _______

EQUIPMENT SPACE                                             			                        1 space	 @ $1000		= 	$__________
                                                                                      2 spaces	 @ $1500		= 	$__________
MUST HAVE BOOTH TO RESERVE EQUIPMENT SPACE 			                                        3 spaces	 @ $1750 	= 	$__________
Equipment Space Preference #1 _______ #2 _______ #3 _______

                                                                        			

Electrical Outlet                                           		                        ____________ 	@	 $100	=	$__________
                                                                                      ____________ 	 @ 	 $125	=	 $__________
VENDOR ATTENDEES:                        1)_________________________________          ____________ 	 @ 	 $25	=	 $__________
                                         2)_________________________________
     Includes: Tuesday Branch Reception
     and Wednesday Breakfast and Lunch
     (Print names for event badge)

ADDITIONAL VENDOR ATTENDEE(S):                              		

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

(Print names for event badge)            4)_________________________________

                                         5)_________________________________

WEDNESDAY NIGHT EVENT at Teton Trek at the	Me	mphis Zoo

     RESERVATION IS REQUIRED. Indicate number attending. Transportation is provided.

GOLF REGISTRATION (The Links at Galloway, Monday, Nov. 1)                             ____________ 	@	 $50	=	$__________

GOLF Individual Entry, 11 a.m. Shotgun Start (Inc	lude	s Lunch, Beverages & Prizes)

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: Sheraton Memphis Downtown Hotel, 250 N Main St., Memphis, TN 38103, 901-527-7300. Conference rate ($139) is available until October 13, 2021.
Use Code PWA or visit https://book.passkey.com/go/tnapwa to make your reservation. Contact Mark Miller at (865) 850-1534 or email markmillertcapwa@gmail.com

            for additional information. Checks should be made payable to TCAPWA and mailed 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 4, 2021
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