Exhibitor Online Registration

Wyoming Hospital Association
78th Annual Meeting Application

* The following fields are required.

Name & Title of those staffing your booth:
(Registration is for two (2) attendees)

Booths will be assigned on a first come, first served basis.

The Exhibit Fee includes two tickets for the Wednesday and Thursday meal functions and socials.
[Check all that apply]

[ please list the first and last names of each Attendees in the box below ]

In order to better accomodate our vendors, this section must be completed if you have additional needs, i.e. electrical, Internet access, phone lines, or exhibits larger than the 8x10 allotted space (additional fees may apply). Please describe your requirements below:

Payment can be made by check or Pay Pal.

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