Page 10 - CONF19 Vol 37 No 4

2019 TCAPWA /SWANA Conference

NOVEMBER 5 -7 in CHATTANOOGA

CHATTANOOGA MARRIOTT DOWNTOWN

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 / BRONZE - $500

BOOTH RENTAL (One Company Per Booth or Equip me nt Space) ____________ @ $700 = $__________

MUST HAVE BOOTH TO RESERVE EQUIPMENT SPACE ____________ @ $1000 = $__________
Includes Two Vendor Attendees (two gift items per booth rental)
____________ @ $250 = $__________
Booth Preference #1 _______ #2 _______ #3 _______ ____________ @ $50 = $__________

EQUIPMENT SPACE (One Company Per Space)

MUST HAVE BOOTH TO RESERVE EQUIPMENT SPACE

Equipment Space Preference #1 _______ #2 _______ #3 _______

Each Additional Booth Rental / Each Additional E qu ipment Space

Electrical Outlet

VENDOR ATTENDEES: 1)_________________________________
2)_________________________________
Includes: Wednesday Branch Reception
and Thursday Breakfast and Lunch
(Print names for event badge)

ADDITIONAL VENDOR ATTENDEE(S): ____________ @ $100 = $__________

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

(Print names for event badge) 4)_________________________________

5)_________________________________

THURSDAY NIGHT EVENT at the TENNESSEE AQUARIUM

There is NO CHARGE for this event, but a RESERVATION IS REQUIRED. Indicate number attending: _________

GOLF REGISTRATION (Brown Acres, Tuesday, Nov. 5)

GOLF Individual Entry (Includes Lunch & Beverage) ____________ @ $50 = $__________
11 a.m. Lunch; Noon Shotgun Start

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: Chattanooga Marriott Downtown, Two Carter Plaza, Chattanooga, TN 37402, 423-756-0002. Conference rate ($139) is available until October 13, 2019.
Group Code: TCA TN American Public. 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 4, 2019