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2018 NASPA Region IV-East Regional Conference Exhibitor/Sponsor Registration Form November 11-13, 2018 Milwaukee, WI https://www.naspa.org/events/ 18IVEConf 1

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2018 NASPA Region IV-East Regional ConferenceExhibitor/Sponsor Registration Form

November 11-13, 2018Milwaukee, WI

https://www.naspa.org/events/18IVEConf

SPONSOR NAME (list below)

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Section 1 – Sponsorship/Exhibits/Advertising

Sponsorship Opportunities (select level) Platinum ($6,000)

Opportunity to be the exclusive sponsor of a premium event (e.g. welcome keynote and reception; lunch and awards ceremony; closing lunch and closing speaker).

Opportunity to address the conference attendees at the exclusive sponsor event. Recognition at the opening welcome remarks. Company signage in prominent locations throughout the conference location and duration

of conference. Company logo on the regional conference website. Opportunity to exhibit during the entire conference. The exhibit booth fee is included in the sponsorship. Two registrations for the conference.

Gold ($3,000)

Opportunity to be sponsor of Senior Student Affairs Officers preconference session. Public recognition during sponsored event and another featured conference program. Company signage in a prominent location. Company logo on the regional conference website. Opportunity to exhibit during the entire conference. One registration for the conference.

Silver ($2,500)

Opportunity to be sponsor of Student Affairs Leaders of Tomorrow pre conference session.

Public recognition during sponsored event and another featured conference program. Company signage in a prominent location. Company logo on the regional conference website. Opportunity to exhibit during the entire conference. One registration for the conference.

Bronze ($2,000)

Opportunity to sponsor coffee/refreshments/snack break OR late evening socials (Sunday or Monday)

Company signage in prominent location. Company logo on regional conference website. Opportunity to exhibit during the entire conference. One registration for the conference.

Exhibits (Please check preferred options)

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Basic Exhibitor Booth Package

One exhibit table for duration of conference

Member Booth Rate (includes one registration)

_________ Registration Fees for one, table top $1,000

Non-Member Booth Rate (includes one registration)

_________ Registration for one, table top $1,400

Additional Registrations

_________ (qty.) $150 per person (above and beyond the one registration included with booth package)

NASPA Corporate Member Rates/Non-Member Rates (For more information on NASPA Corporate Membership, please contact Tonya Murphy at [email protected]).

Educational Institution Exhibitor Booth Package

One exhibit table for duration of conference

Member Booth Rate (includes one registration)

_________ Registration Fees for one, table top $500

Non-Member Booth Rate (includes one registration)

_________ Registration for one, table top $700

Additional Registrations

_________ (qty.) $150 per person (above and beyond the one registration included with booth package)

Section 1 subtotal $_______________

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Section 2 – Exhibitor Logistics

Exhibit Specifics Include:

One 8’ table Two folding chairs One registration

Do you need tables and chairs for your set-up? Yes No

Will you need access to a power source? Yes No

Will you be mailing your products/equipment to the hotel before your arrival? Yes No

If so, please mail items to:

The Pfister HotelNASPAVendor CompanyAttention: On-Site NameC/O Becky Machi/Events424 East Wisconsin AvenueMilwaukee, WI 53202

Exhibitor Hours/Move In:

Location: Grand Foyer

Move In: Sunday, November 11 10:00 am-12:00 pm

Exhibit Hours: Sunday, November 11 1:00 pm-5:00 pm

Monday, November 12 10:00 am-4:30 pm

Move Out: Monday, November 12 4: 30 pm-6 pm

NASPA assumes no responsibility for products left unattended at the end of the conference.

Registration InformationExhibitor registration and check-in will be at the Pfister Hotel. Your conference badge is your admission ticket to other conference events and sessions that do not charge special fees. Other individuals who wish to attend the conference will need to register for the conference at the appropriate rate.

Hotel ReservationsYou should plan to make your reservations as early as possible. All conference activities will take place at the below hotel. A block of rooms is held for conference attendees for single/double occupancy rate of $149 Tower Suites and $129 Garden Rooms a night.  In order to secure a room at the conference rate, you must call the hotel at (414) 273-8222 and mention that you will be staying for the NASPA Conference.

The Pfister Hotel424 East Wisconsin Avenue

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Milwaukee, WI 53202

Property Responsibility/InsuranceYou are responsible for insuring the safety of your personnel and your exhibit materials from theft, damage, accident, fire and other such causes. Exhibitors who desire to carry insurance must do so at their own expense. All property of the exhibitors is understood to remain in their own care, custody, and control in transit to and from the confines of the exhibit area, as well as while it is on the floor. Security and storage space will not be provided.

NASPA and their agents are not responsible for losses incurred, theft, or damage to materials.

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Section 3 – On-site Registration

Each sponsor receives registration and meals for one or two individuals depending upon the sponsorship level. Should you require meals for additional participants, please indicate that below. Your Sponsorship Coordinator will provide you with a code for registration after this form has been submitted.

Registrant One:

NASPA Member #____________________ (To become a NASPA member, please visit www.naspa.org)

Name:_________________________________ Preferred Badge Name:___________________________

Title:__________________________________ Institution or Organization:________________________

Address:______________________________________________________________________________

City::________________________State:______Zip:_________Phone:______________Fax:___________

e-mail:_______________________________________________________________________________

Registrant Two:

NASPA Member #____________________ (To become a NASPA member, please visit www.naspa.org)

Name:_________________________________ Preferred Badge Name:___________________________

Title:__________________________________ Institution or Organization:________________________

Address:______________________________________________________________________________

City::________________________State:______Zip:_________Phone:______________Fax:___________

e-mail:_______________________________________________________________________________

Registrant Three:

NASPA Member #____________________ (To become a NASPA member, please visit www.naspa.org)

Name:_________________________________ Preferred Badge Name:___________________________

Title:__________________________________ Institution or Organization:________________________

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Address:______________________________________________________________________________

City::________________________State:______Zip:_________Phone:______________Fax:___________

Email:________________________________________________________________________________

Meals Information Each Sponsor receives registration and meals for a total of one or two individuals. Each Exhibitor

receives registration and meals for a total of one individual. Do you plan on attending the Opening Reception on Sun., November 11th? Yes No Do you plan on attending the Awards Luncheon on Mon., November 12th? Yes No Do you plan on attending the Closing Lunch on Tues., November 13th Yes No To purchase additional tickets for any of these events, please indicate the quantity:

Opening Reception QTY:______ x $60 = _________Awards Luncheon QTY:______ x $60 = _________Closing Lunch QTY:______ x $60 = _________

Section 3 Subtotal: $_______________

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Section 4 – Payment Method

This agreement confirms that (company name) ____________________________________ has agreed to sponsor the 2018 NASPA IV-E Region Conference in the amount of $_________.

Company Contact: _________________________________________________________________

Company Name: _________________________________________________________________

Contact Phone #: _________________________________________________________________

Contact E-mail: _________________________________________________________________

Payment Method: _________________________________________________________________

Sponsorship Amount: ___________________________

Invoice Needed? Yes No

To ensure maximum recognition, full payment must be received by October 29, 2018. In requesting this sponsorship, I understand that NASPA will be responsible for securing the goods/services selected unless otherwise agreed.

_____________________________ ____________________________Organization Representative NASPA Representative

_____________________________ ____________________________Date Date

Method of Payment: __Check __Money Order __ Credit Card (Visa, Master Card, AMEX)

Check Money Order Credit Card

Circle type of card: Visa MasterCard American Express

Cardholder Name: ________________________________________________________

Cardholder Address: ________________________________________________________

Credit Card Number: ________________________________________________________

Expiration Date: ________________ Invoice needed? Yes No

Cardholder Signature: ________________________________________________________

Section I Subtotal = $__________________

Section III Subtotal = $__________________

Total Registration = $__________________

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Section 5 – Sponsorship Submission

Regional Sponsorship CoordinatorSPONSORSHIP COORDINATOR NAME: ____Michael Stang_____________________________________EMAIL: [email protected]____________________________________________________PHONE: ( 815 ) __753-6170_________________________________FAX: ( ) ___________________________________

Two easy steps to register:

Step 1: Let regional exhibit/sponsorship coordinator know you are attending via e-mail. Step 2: Registration forms accompanied by a check or needing an invoice should be mailed to

the following address:

NASPA Regional Conferences, Sponsor PaymentAttn: Tonya Murphy

111 K Street, NE10th Floor

Washington, DC 20002

Completed forms and registration using a credit card should be scanned to [email protected] and [email protected]

REGISTRATION POLICIESCancellation Deadline: The cancellation deadline is Monday, October 29, 2018. A $50 cancellation fee will be deducted from your refund.

Refund Deadline: No refunds will be provided after Monday, October 29.

Substitution Policy:Substitutions will be allowed until Monday, October 29 and are only allowed between registrants with the same membership type (member to member, non-member to non-member) and the same registration type (professional to professional, student to student).All requests for cancellations, refunds, or substitutions must be in writing and sent to Carrie Don at [email protected].

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