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 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.
2016 OPERATIONS
CONFERENCE
9/26 – 28, 2016
Sheraton at Capitol Square
75 East State Street
Columbus, OH 43215
THREE WAYS TO REGISTER:
ONLINE
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.
ATTENDEE #1
First Name Click here to enter text.
www.ohiochc.org/conference
EMAIL
Complete this form as a word
document and email it to us at
[email protected]
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.
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].
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.
OACHC internal use:
Registered:
____________________ Paid
Date: _____________________
Check
#:_______________________
3. Registration Options
Bronze
Exclusive
Executive
Premier
Regular
Registration
Silver
☐ Exclusive Level
☐ Executive Level
☐ Premier Level
Gold
SPONSORSHIPS
SPONSOR PRICING
Platinum
CORPORATE PARTNER PRICING
$2500
$1750
$1000
$2500
$1750
$1000
$2500
$1750
$1000
$2500
$1750
$1000
$2500
NA
NA
NA
$1750
NA
NA
NA
$1000
$2500
$1750
$1000
$0
$0
$0
$300
$300
$300
$450
$450
$450
$600
$600
$600
$0
$0
$0
$700
$400
$400
$900
$600
$600
$1100
$800
$500
EXHIBIT BOOTH ONLY
☐ Premium Booth [Choice of location]
☐ Standard Booth [8’x3’ Table]
☐ Non-Profit Booth [8’x3’ Table]
4. Additional Options
Regular
Registration
$0
$300
$250
$0
$0
$250
$0
$300
$250
$0
$300
$250
$40
$300
$250
$0
$500
$500
$250
$0
$500
$500
$250
$1000
$500
$500
$250
$1000
$500
$500
$250
$0
$500
$500
$250
$1000
$0
$0
$250
$1000
$500
$500
$0
$1000
$500
$500
$250
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
$100
Exclusive
$0
$300
$250
Bronze
$0
$0
$250
Silver
Premier
☐ Electricity at Booth
☐ Premium Booth [Choice of location]
☐ XL Booth [Larger than standard 8’x3’]
Gold
$0
$0
$250
Platinum
BOOTH UPGRADES
SPONSOR PRICING
Executive
CORPORATE PARTNER PRICING
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
☐ Additional Booth Attendee #5
$100
$100
$100
$100
$100
$100
$100
$100
$100
5. Payment Method Payment MUST be within 30 days of registration or before the conference whichever occurs first.
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. Include company name on registration if not listed on check.