Exhibitor Online Registration

Wyoming Hospital Association
76th Annual Meeting Application
* The following fields are required.

Organization (type name as it should appear on Convention materials)

Address

City

State

Zip Code

Phone

Contact Person

E-Mail Address

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

Name

Title

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

15-20 word description of the product or service of your organization, for the Exhibitor Listing:

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

Full Booth Exhibit Fee - $750.00

Advertising Fee - $300.00

Sponsorship

Additional Tickets for Attendees - $100.00 each

[ 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.

Exhibitor Online Registration

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

Pay Now