EXHIBITOR REGISTRATION FORM ACCET Annual Conference

November 3-5, 2014

Hyatt Regency Mission Bay Hotel

Email Registration forms to: Anneka Swamy at

or FAX Registration forms to: 202-955-1118

Company / Contact Person
Email / Phone
Address / City/State/Zip

Exhibitor Booth Registration Fees

Fee Includes an 8 ‘X 10’ Pipe & Draped Booth, and all conference events for two persons (Add $100 for each additional person). A package will be sent with complete instructions including set-up & tear-down times.

IF REGISTRATION RECEIVED By AUG. 29, 2014 : $985 (2 Persons) Additional Registrants: $100

IF REGISTRATION RECEIVED AFTER AUG. 29, 2014: $1095 (2 Persons) Additional Registrants: $100

** Cancellation Policy: Fees will be refunded only if written notice or cancellation is received at ACCET on or before October 1, 2014. ACCET retains a $100 cancellation fee.

Names Title Email

Sponsors for the 2014 ACCET Annual Conference

Your sponsorship will provide maximum exposure for your organization and is a welcomed expression of your support. All sponsors will be announced at the Opening General Session:

Premier & Prime Package includes:

v  Booth and Registration for 4 persons for Premier or 3 for Prime

v  One breakout presentation (topic to be approved by ACCET)

v  Ad in the conference materials (Premier: Full page/ Prime: Half page)

v  Material inserted in the conference tote bags

v  Signage beside the event door

v  Invitation to the Executive Director’s VIP Cocktail Reception

Contributing sponsors will include:

Ø  Booth and registration fee for 2 persons

Ø  Quarter page Ad in the conference materials

Ø  Signage beside the event door

Ø  Invitation to the Executive Director’s VIP Cocktail Reception.

Premier Sponsors: $7,500

Exhibit Hall Reception

Exhibit Hall Luncheon

Keynote Speaker(s)

Prime Sponsors: $5,000

Special Evening Reception

Exhibit Hall Breakfast

Closing Seated Breakfast

Contributing Sponsors ($1500 - $4999) $

Break Sponsors

Conference Materials

Non-Exhibitor Sponsors (No booth) $

Announcement at Opening General Session

Payment

Exhibit Booth (includes 2 persons) $

Additional Registrants ($100 each) $

Non-exhibiting vendor $

SPONSORSHIP (includes booth) $

TOTAL $

Charge to: VISA AmEx MC Discover Card Number:

Exp. Date: Security Code: Billing Phone #:

Name on Card: Today’s Date:

Billing Address:

** Those who prefer to pay by check should print this form and mail along with a check to ACCET: 1722 N Street, Washington DC 20036

* Cancellation Policy: Fees will be refunded only if written notice or cancellation is received at ACCET on or before October 1, 2014. ACCET will retain a $100 cancellation fee.

Company Description: (150 words or less)