Page 8 - Conf2021 Vol39 No4

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 __________________________________ = $ _________
Please see Sponsorship Information Sheet for benefits SPONSORSHIP LEVEL
PLATINUM - $3000 (Includes Two Vendor Attendees) / GOLD - $2000 / SILVER - $1000

BOOTH RENTAL (One Company Per Booth or Equipment 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 = $ _________
MUST HAVE BOOTH TO RESERVE EQUIPMENT SPACE 2 spaces @ $1500 = $ _________
Equipment Space Preference #1 _______ #2 _______ #3 _______
3 spaces @ $1750 = $ _________

Electrical Outlet ___________ @ $100 = $ _________

VENDOR ATTENDEES:
Includes: Tuesday Branch Reception 1) ________________________________
and Wednesday Breakfast and Lunch
(Print names for event badge) 2) ________________________________
ADDITIONAL VENDOR ATTENDEE(S): ___________ @ $125 = $ _________
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 Memphis Zoo ___________ @ $25 = $ _________
RESERVATION IS REQUIRED. Indicate number attending. Transportation is provided.

GOLF REGISTRATION (The Links at Galloway, Monday, Nov. 1)

GOLF Individual Entry, 11 a.m. Shotgun Start (Includes Lunch, Beverages & Prizes) ___________ @ $50 = $ _________

TOTAL AMOUNT ENCLOSED $ __________________________
TCAPWA & SWANA THANK YOU!
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