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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