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2022 TCAPWA & SWANA Annual Conference

                             NOVEMBER 8-10, 2022 – KNOXVILLE

               MARRIOTT KNOXVILLE DOWNTOWN & WORLD’S FAIR EXHIBITION HALL


        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   /   GOLF - $250


        BOOTH RENTAL (One Company Per Booth or Equipment Space)                            ______   @  $900 =  $ _______
           10'x10' Booth Includes Two Vendor Attendees
           Booth Preference  #1 _______ #2 _______ #3 _______ (see floor plan page 20)
        EQUIPMENT SPACE                                                                   1 space  @ $1000  =  $ _______
           20'x30' Inside Equipment Space Includes Two Vendor Attendees
                                                                                         2 spaces  @ $1500  =  $ _______
           Equipment Space Preference  #1 _______ #2 _______ #3 _______ (see floor plan page 20)
                                                                                         3 spaces  @ $1800  =  $ _______

        Electrical Outlet                                                                  ______   @  $125 =  $ _______

        VENDOR ATTENDEES:                      1) ______________________________
           Includes: Wed. Branch Reception (4-7 p.m.)
           and Thurs. Breakfast (8 a.m.) and Lunch (noon)   2) ______________________________
           (Print names for event badges)
        ADDITIONAL VENDOR ATTENDEE(S):         3) ______________________________           ______   @   $150  =  $ _______
           Includes: Wed. Branch Reception (4-7 p.m.)
           and Thurs. Breakfast (8 a.m.) and Lunch (noon)   4) ______________________________
           (Print names for event badges)
                                               5) ______________________________


        THURSDAY NIGHT EVENT 5-11 p.m. – Scruffy City Hall, 32 Market Square               ______   @   $25  =  $ _______
           RESERVATION IS REQUIRED. Indicate number attending.

        GOLF REGISTRATION (Tuesday, Nov. 8, at Ruggles Ferry Golf Club: 8530 N Ruggles Ferry Rd., Strawberry Plains)

        GOLF Individual Entry, 11 a.m. w/noon Shotgun Start (Includes Lunch, Beverages & Prizes)   ______   @   $55 =  $ _______


        TEAM NAMES: __________________; __________________; __________________; __________________    TEAM  @  $220 =  $ _______
        SPONSORSHIP: __ Hole sponsor; __ Closest-to-the-Pin Sponsor; __ Longest Drive; or __ Putting Contest  SPONSOR  @  $250 =  $ _______
        Marriott Knoxville Downtown, 525 Henley St., Knoxville, TN 37902.
        Conference rate ($155) is available until October 13, 2022. Contact           TOTAL AMOUNT ENCLOSED    $ _________________________
        Mark Miller at (865) 850-1534 or email markmillertcapwa@gmail.com.  HOTEL LINK
        Pay with credit card or make checks payable to TCAPWA and mail to   Credit Card Information: ______________________________________________________
        Mark Miller, P.O. Box 1350, Pigeon Forge, TN 37868 or register online      Number      Exp. Date   CVV Code       Zip
        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 – NOV. 1, 2022
           INSURANCE IS REQUIRED: VENDORS MUST include with Exhibitor Registration Form and Payment, a copy of your current
                    general liability insurance set at a minimum of $1,000,000 per occurrence and $2,000,000 aggregate.
         10    TPW Conference 2022
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