Exhibitor & Sponsor Registration

Untitled Document

EXHIBITOR & SPONSOR REGISTRATION FORM
Friday, November 19, 2010

NYC's 7th Annual Criminal Justice & Treatment Conference: Ensuring Quality of Care for the Criminal Justice Population, Kingsborough Community College, Brooklyn, NY

The space allows for Table Top Displays and the cost for the day is $600. Each exhibitor space comes with one complimentary conference registration. For exhibitors who prefer a larger area, please register for two spaces ($1,200). Please include a brief description of your services for our final conference brochure.

Co-sponsorship opportunities are also available. See prices and descriptions below. You can register online or download a form here.

Please call or email,
should you have any questions regarding this event.

Sincerely,
Gary Butchen, LCSWR
ATPA/Bridge Back To Life Center, Inc.
212-679-4960 / Email: Gbutchen@bridgebacktolife.com

* Required Field
* Agency:
* Address:
* City:
* State:
* Zip:
* Phone:
* Fax:
* Email:
* Contact First Name:
* Contact Last Name:
* Title:

Exhibitor : $600.00
Table with skirt, one registration and listing of company in conference catalog.

First Attendee:

First Name
Last Name
Title
Email

Number of Additional Registrations:

Attendee(s):

Sponsorship Packages

Platinum : $5000.00
Sponsorship of the conference breakfast or lunch, signage on tables as well as company banner, exhibitor space with 4 registrations, verbal acknowledgement during conference opening/lunch/closing (limited to the first two received)

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

Gold : $3500.00
Sponsorship of conference afternoon snack, signage on tables, exhibitor space with 3 registrations, verbal acknowledgement and 1/2 page acknowledgement in conference catalog (limited to the first four received)

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

Silver : $2000.00
Company name printed on name tag lanyards, exhibitor with 2 registrations and 1/2 page acknowledgement in conference catalog.

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

Bronze : $1500.00
Exhibitor space with 2 registrations and 1/4 page acknowledgment in conference catalog.

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

Additional Registrations : $60.00 (per registration)

Number of Additional Registrations:
Attendee(s):

* Brief description of your services:

I prefer to pay by check.

Total:

EXHIBITOR & SPONSOR REGISTRATION FORM Friday, November 19, 2010

EXHIBITOR & SPONSOR REGISTRATION FORM
Friday, November 19, 2010