Registration

CONFERENCE EXHIBITOR REGISTRATION FORM
ALL OPTIONS ARE OFFERED ON A FIRST COME, FIRST SERVED BASIS. REGISTER EARLY.
PLEASE COMPLETE THE ENTIRE FORM FROM STEPS 1-5. PLEASE TYPE OR WRITE LEGIBILY.
1. Exhibitor Program Guide Listing
This information including the contact will be used verbatim for your listing in our conference program
guide. Please double check your information and spelling.
Company Click here to enter text.
Website Click here to enter text.
Main Contact Name Click here to enter text.
Main Contact Email Click here to enter text.
Main Contact Phone Click here to enter text.
Product or Service Description [150 word max.] Click here to enter text.
2017 FALL
OPERATIONS
CONFERENCE
10/19 – 10/20, 2017
Nationwide Hotel &
Conference Center
100 Green Meadows Drive S,
Lewis Center, OH 43035
HOW TO REGISTER:
2. Exhibitor Booth Attendees
Two Exhibitor Booth Attendees are included in the registration. If you would like to add additional
attendees at the cost of $100 per additional person, please check the additional attendee box in the
additional options section and include their information by copying the and completing info.
ATTENDEE #1
First Name Click here to enter text.
Last Name Click here to enter text.
Title Click here to enter text.
Email Address Click here to enter text.
Dietary Restrictions Click here to enter text.
ATTENDEE #2
First Name Click here to enter text.
Last Name Click here to enter text.
Title Click here to enter text.
EMAIL
1. Complete this form as a word
document,
2. Save it as “Exhibitor Registration
your company name”,
3. Email to [email protected].
4. You will receive an email
confirmation when your
registration is processed.
________________________________
PHOTO DISCLAIMER:
OACHC will be taking photos during
the event and may publish them in any
format or media without additional
permission from you if you are in the
photo.
For questions contact us at
[email protected].
OACHC internal use:
Registered: ________________
Email Address Click here to enter text.
Dietary Restrictions Click here to enter text.
Paid Date: _________________
Check #: __________________
3. Registration Options
EXHIBITOR
ONLY
Exclusive
Limited to 5
$2250
$1750
$2250
$1750
$2250
$1750
$2250
$1750
$2250
NA
NA
$1750
NA
NA
$2250
$1750
$1000
$1500
$1000
$1000
$1500
$1000
$1000
$1500
$1000
$1000
$1500
$1000
$1000
$1500
$1000
$1000
$1500
$1000
$1000
$1500
$1000
$1000
$1500
$1000
Deluxe
Bronze
Limited to 5
Silver
☐ Diamond Level
☐ Deluxe Level
Gold
Sponsor Packages
Platinum
SPONSORSHIP
SPONSOR PRICING
Diamond
CORPORATE PARTNER PRICING
NA
$300
NA
$800
NA
NA
NA
$1200
$900
NA
NA
NA
$500
$500
Limited to 5
$1200
$900
Deluxe
Included
NA
Limited to 5
Included
NA
Diamond
$1000
NA
Bronze
EXHIBITOR
ONLY
Included
NA
Exclusive
☐ Prime Booth [Choice of location]
☐ Standard Booth [6’x3’ Table]
☐ Non-Profit Booth [6’x3’ Table, Limited
. Availability]
Silver
EXHIBIT BOOTHS
Gold
☐ Raffle Prize Sponsor [2 Available]
☐ Lunch Sponsor [2 Available]
☐ General Education Session Sponsor
Platinum
Stand Alone Sponsorships
Exclusive
Limited to 5
Bronze
Included
$250
Included
$250
Included
$250
Included
$250
Included
$250
Included
$250
$40
$250
$40
$250
Included
$500
$500
$250
Included
$500
$500
$250
$1000
$500
$500
$250
$1000
$500
$500
$250
Included
$500
$500
$250
$1000
Included
Included
$250
$1000
$500
$500
$250
$1000
$500
$500
$250
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
Deluxe
Silver
Limited to 5
Gold
☐ Electricity at Booth
☐ XL Booth [Larger Area w/ Table]
Platinum
BOOTH UPGRADES
SPONSOR PRICING
Diamond
CORPORATE PARTNER PRICING
EXHIBITOR
ONLY
4. Additional Options
PROGRAM GUIDE ADS
☐ Full Page Ad
☐ Half Page Ad Vertical
☐ Half Page Ad Horizontal
☐ Quarter Page Ad
ADDITIONAL ATTENDEES
☐ Additional Booth Attendee #3
☐ Additional Booth Attendee #4
5. Payment Method Payment MUST be within 30 days of registration or before the conference whichever occurs first.
Billing Address Click here to enter text.
Billing City Click here to enter text.
Billing State Click here to enter text.
Billing Zip Click here to enter text.
TOTAL AMOUNT DUE Click here to enter text.
☐ CREDIT CARD
OACHC Accepts Amex, Mastercard, Visa, Discover Credit Cards.
For security purposes please provide an email address that we can send a secure payment link to upon processing your registration.
Email for Secure Payment Link: Click here to enter text.
☐ CHECK
Please mail check to:
2109 Stella Ct.
Columbus Oh, 43215
If name or company name on check doesn’t match registration, please include a copy of this registration form.

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