Exhibitor Registration Exhibitor Registration Exhibitor Name Exhibitor Name First First Last Last Billing Address Billing Address Billing Address Billing Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Email Phone Co. Contact Booth Attendee Booth Attendee Product/Service Booth, # of tables: ($595 Early Bird) QTY Total Due Preferred Booth #: 1st Choice 2nd Choice 3rd Choice Speakers I am interested in hosting: Meal Snack Budget Amount Date Oct 26, 2023 Oct 27, 2023 Oct 28, 2023 Time Breakfast Lunch Dinner Snack Final Comments Total Cancelation and refunds: Cancelations PRIOR to 60 days from the event will receive a full refund less $50 processing fee. No refunds after 30 days prior to the event(Booth includes, 1 table, and 2 chairs) Exhibitors are responsible for all additional AV needs, including power cords.Included in your registration :2 Free tickets to the Reception (Thursday)2 Free Cocktail tickets (Thurs. Reception)2 Exhibitor Gift Bags Please note: Hotel fees for receiving and return shipment of shipped boxes are the responsibility of the exhibitor. Booth setup begins Wednesday evening at 7 PM and Thursday morning @ 7 AM. Seminar begins Thursday 8 AM and ends Saturday 6:30 PM. Why should I attend? Exposure to approximately 140 – 150 DC’s and DC students International exposure of your product to DC’s in over 20 different countries Instructor mentions during seminar and ability to explain product during event Ability to demo products and have demos available during seminar and breakout sessions Inclusion of Marketing brochures and pamphlets/coupons etc. in registration packets Credit Card If you are human, leave this field blank. Submit