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Commercial Support Payment
Company Information
Please use proper capitalization
marks required fields.
Company Name:
Address:
Address:
City:
State/Province:
Postal Code:
Country:
Contact Name:
Phone:
Fax:
Email:
Pricing
Support Level
Price
# Badges
VWA Member Exhibitor
$ 1,200.00
2
VWA Non-Member Exhibitor
$ 1,500.00
2
Monday Breakfast Sponsor
$ 1,100.00
2
Monday Lunch Sponsor
$ 1,320.00
2
Monday Reception Sponsor
$ 1,650.00
2
Tuesday Breakfast Sponsor
$ 1,100.00
2
Tuesday Lunch Sponsor
$ 1,320.00
2
Technology Sponsor
$ 1,100.00
2
Exhibitor Bingo Prize
$ 550.00
2
Any deadlines, dates and times are Eastern Standard Time, USA.
Support Level
Select Support Level:
Please Select
VWA Member Exhibitor
VWA Non-Member Exhibitor
Monday Breakfast Sponsor
Monday Lunch Sponsor
Monday Reception Sponsor
Tuesday Breakfast Sponsor
Tuesday Lunch Sponsor
Technology Sponsor
Exhibitor Bingo Prize
# Additional Badges :
Badge Name # 1:
Badge Email # 1:
Badge Name # 2:
Badge Email # 2:
Badge Name # 3:
Badge Email # 3:
Badge Name # 4:
Badge Email # 4:
Badge Name # 5:
Badge Email # 5:
Badge Name # 6:
Badge Email # 6:
Badge Name # 7:
Badge Email # 7:
Badge Name # 8:
Badge Email # 8:
Badge Name # 9:
Badge Email # 9:
Badge Name # 10:
Badge Email # 10:
Badge Name # 11:
Badge Email # 11:
Badge Name # 12:
Badge Email # 12:
Badge Name # 13:
Badge Email # 13:
Badge Name # 14:
Badge Email # 14:
Badge Name # 15:
Badge Email # 15:
Badge Name # 16:
Badge Email # 16:
Badge Name # 17:
Badge Email # 17:
Badge Name # 18:
Badge Email # 18:
Badge Name # 19:
Badge Email # 19:
Badge Name # 20:
Badge Email # 20:
Credit Card Payment
Enter billing information.
First Name:
Last Name:
Address:
City:
State/Province:
Postal Code:
Country:
Credit Card Number:
CSV:
Expiration Date:
Please Select
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Please Select
2024
2025
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