PLATINUM - $3000 (Limit 2)

• Primelocationonexhibitfloor(tableincluded)• One8’displayallowed• Attendeemailinglist• Companylogoonattendeenamebadge• Companylogoonpodiumsign• Companylogoinon-siteprogram• Companyinfoandpromotionalmaterialsatregistrationdesk• 4complimentaryboothworkers• AttendanceatThursdayeveningreceptionincluded• Recognitionatopeningorclosingwith5minutepresentation

SILVER - $1000

• One 6’ table• Attendeemailinglist• 2complimentarytableworkers• Companylogoonpodiumsign• Companylogoinon-siteprogram• Companyinfoandpromotionalmaterialsatregistrationdesk• AttendanceatThursdayeveningreceptionincluded

GOLD - $2000

• One6’tableinhighlyvisiblelocation• Attendeemailinglist• 2complimentarytableworkers• Companylogoonpodiumsign• Companylogoinon-siteprogram• Companyinfoandpromotionalmaterialsat

registrationdesk• 3complimentarytableworkers• Recognitionfrompodiumatlunch• AttendanceatThursdayeveningreceptionincluded

EXHIBITTABLEONLY-$650

• One 6’ table• Attendeemailinglist• 2Complimentarytableworkers• Companylogoonpodiumsign• AttendanceatThursdayeveningreceptionincluded

SPONSORSHIPS

JUNE 22-24, 2016at the Winston-Salem Marriott, Winston-Salem, North Carolina

ISM-Carolinas—Virginia, Inc.

ISM-CVAnnualConference&SupplierExpo“MORE THAN JUST PRICE”

HOTEL INFORMATIONMARRIOTTWINSTON-SALEM(ConferenceHotel)Call1-800-320-0934andaskfortheISM-CVAnnualConferenceandSupplierExpogrouprate.Single/DoubleRate$159.00pernight TripleRate$169.00pernight QuadRate$179.00pernight EMBASSYSUITESWINSTON-SALEM(OverflowHotel)Call1-800-696-6107andaskfortheISM-CVAnnualConferenceandSupplierExpogrouprate.Single/DoubleRate$169.00pernight TripleRate$179.00pernight QuadRate$189.00pernight

Allcancellationsonroomsmadepriorto72-hoursofarrivalwillbechargeda

$25.00administrativefee.Ifcancellationismadewithin72-hoursafullnightsdeposit

willbeforfeited.

B Name: ______________________________________________________________________________________________

B Name to appear on badge: _____________________________________________________________________________

C Name: ______________________________________________________________________________________________

C Name to appear on badge: _____________________________________________________________________________

D Name: ______________________________________________________________________________________________

D Name to appear on badge: _____________________________________________________________________________

E Name: ______________________________________________________________________________________________

E Name to appear on badge: _____________________________________________________________________________

Company Name: _________________________________________________________________________________________

Email: ___________________________________________________________________________________________________

Address: _______________________________________________________________________________________________

City: _______________________________________________________________ State: ______ Zip: __________________

Phone: ______________________________________________ Fax: _____________________________________________

Select Level: ☐ Platinum $3000

☐ Gold $2000

☐ Silver $1000

☐ Exhibit Table only $650

Select Booth Number(s): ______ ______ ______

TOTAL: $___________

☐ Check enclosed

(payable to ISM-Carolinas-Virginia, Inc.)

OR Charge my: ☐ VISA ☐ MC ☐ Discover

Card #: __________________________________

Exp.: ______/______ 3-digit CVV: _________ Signature: ____________________________________

Mail completed form and payment to: 638 Independence Parkway, Suite 100, Chesapeake, VA 23320 Phone: 757-410-8061 Fax: 757-473-9897

Email: ashaw@ism-cv.org

ISM-CVAnnualConference&SupplierExpoJUNE 22-24, 2016

attheWinston-SalemMarriott,Winston-Salem,NorthCarolina

VENDOR REGISTRATION

SOLDSOLD SOLD