1. ADDITIONAL EXHIBITOR NAMETAGS†
Name/Email:
Name/Email:
Name/Email:
Name/Email:
Name/Email:
†All nametags must be in the name of the exhibiting company—No Exceptions!
Managing Director / Chapter:
Company Name (as it is to appear in the Program Guide):
Contact Name:
Title:
Address:
City:
State/Province: ZIP / Postal Code:
Company Phone (as it is to appear in the Program Guide):
Contact Phone:
Fax: Cell:
Email:
Web Address (as it is to appear in the Program Guide):
Business Type:
Products / Services to be Exhibited:
MEMBER - I am an eWomenNetwork Member. Write sign-in name below:
__________________________________________________________________________________
NON-MEMBER - I am not a member
(All amounts are in US Dollars.)
Exhibitor-Regform-080725
Exhibitor Application Form
Please have someone contact me about
membership
# 1) Exhibitor-Only Package - $1,995
- 8’ x 6’ exhibit space, 3’ side drape, draped table, two chairs,
identification sign, and wastebasket
- Two Exhibitor-Only Tickets**
- Listing in the Conference Program Guide
# 2) Small Business Exhibitor Package - $2,750
- 10’ x 10’ exhibit space, 8’ back drape, 3’ side drape,
draped table, two chairs, identification sign, and wastebasket
- One Full Conference Registration* and Two Exhibitor-Only Tickets**
- Listing in the Conference Program Guide
- 1/8-page full-color ad in the Conference Program Guide (ad provided
by Exhibitor no later than June 30, 2009)
# 3) Premium Exhibitor Package - $3,250
- 10’ x 10’ exhibit space, 8’ back drape, 3’ side drape, draped table,
two chairs, identification sign, and wastebasket
- Two Full Conference Registrations* and Two Exhibitor-Only Tickets**
- Listing in the Conference Program Guide
- 1/4-page full-color ad in the Conference Program Guide (ad provided
by Exhibitor no later than June 30, 2009)
# 4) Platinum Exhibitor Package - $4,850
- 20’ x 10’ exhibit space, 8’ back drape, 3’ side drape, draped table, two
chairs, identification sign, and wastebasket
- Two Full Conference Registrations* and Four Exhibitor-Only Tickets**
- Listing in the Conference Program Guide
- 1/2-page full-color ad in the Conference Program Guide (ad provided
by Exhibitor no later than June 30, 2009)
- Two tickets to An Evening of Chocolate Decadence Extreme
Dance Party
- Two tickets to the Nordstrom VIP Makeover Event
- Opening night gala VIP seating for two
- Two seats to private VIP dinner with Sandra and Kym Yancey
*Conference Registration includes access to all General and Breakout
Sessions and Meal Functions (Grand Networking Reception, Breakfasts,
Lunches, Dessert Functions)
**Exhibitor-Only Ticket includes meal functions only. You may purchase
additional Exhibitor-Only Tickets for $425 per ticket. The cost to up-
grade from an Exhibitor-Only Ticket to a Full Conference pass is $425
for members and $625 for non-members.
Booth prices above do not include internet, phone, or electricity.
All payments are final and nonrefundable.
Fax this completed
form to 972-720-9995
Payment plan option is available. Contact:
Kellie Hardy
972-620-9995, ext. 1001
Exhibitor@eWomenNetwork.com
Conference Hotel: Hilton Anatole Dallas
2201 Stemmons Freeway, Dallas, Texas 75207
Exhibit space is limited and will be reserved on a
first-come, first-served basis with payment. Electronic Check (U.S. bank only): Business Checking Checking Savings
Bank Name as it appears on your checks:
Routing No. (9 digits): Acct. No.
Authorization Signature Date:
✘
eWomenNetwork Members Receive a
10% Discount on Exhibitor Packages!
Credit Card Information: Visa MasterCard American Express Discover Card
Card Number: Expiration Date:
Name as it appears on the card:
Billing address of credit card: (If same as above, write in Same.)
eWomenNetwork reserves the right and discretion to limit,
accept, or reject any exhibitor and/or their products or services.
Authorization Signature Date:
✘
For Office Use Only: