AMGA 2017 Annual Conference Contributor Opportunities Registration

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

AMGA 2017 Annual Conference
March 22-25, 2017
Gaylord Texan Resort & Convention Center
Grapevine, Texas


1. Fill out the form below and hit Submit.

2. Print out form and mail or fax to (703) 548-1890.

Fred Haag
AMGA
One Prince Street
Alexandria, VA 22314-3318

Please send only one registration for your entire organization.

AMGA 2017 Annual Conference
March 22-25, 2017
Gaylord Texan Resort & Convention Center
Grapevine, Texas


1. Fill out the form below and hit Submit.

2. Print out form and mail or fax to (703) 548-1890.

Fred Haag
AMGA
One Prince Street
Alexandria, VA 22314-3318

Please send only one registration for your entire organization.

Preferred booth location (AMGA will make every effort to meet exhibitors' placement requests. However, we cannot guarantee exhibit locations.)


(Maximum characters: 2000)
You have characters left.

Names of Your On-Site Representatives: Six representatives may attend every exhibit hall function for free; additional representatives may work in the booth at an additional fee of $100 per person. Exhibitors receive one complimentary conference registration to the entire meeting. Additional exhibitor staff has the option to purchase registrations at the applicable rate. AMGA Corporate Partners may attend the meeting at the member rate. The first representative listed will receive the complimentary conference registration.

@ $100

@ $5750
@ $27500


Contribution Categories
@ $50000
@ $2000
@ $2250
@ $2375
@ $2500
@ $22500
@ $24700
@ $24975
@ $25112
@ $25250
@ $2200
@ $2475
@ $2612
@ $2750
@ $7500
@ $9900
@ $10200
@ $10350
@ $10500
@ $12300
@ $12900
@ $13200
@ $13500

Exhibit Space reserved before and paid before December 31, 2016)

@ $3584
@ $4032
@ $4256
@ $4480
Exhibit Space reserved after December 31, 2016)
@ $3770
@ $4245
@ $4480
@ $4715

Additional Grants/Oportunities
@ $15000
@ $7500
@ $5000
@ $10000
@ $5000
@ $10000
@ $5000
@ $8000
@ $4000
OTHER OPPORTUNITIES
@ $10000
@ $10000
@ $10000
@ $2000
@ $1500
@ $10000
@ $10000
@ $500
@ $10000
@ $10000
@ $7500
@ $5000
@ $15000
@ $5000
@ $15000
@ $7500

Payment in full is to be included with this contributor registration. Cancellations of booth received by January 2, 2017 will receive a refund (less a $500 processing fee). No refunds can be made after this date unless AMGA is able to resell the booth.
You may also fax the registration form to (703) 548-1890 or mail with check to AMGA, Attn: Fred Haag, One Prince Street, Alexandria, VA 22314-3318. For further information or to pay with credit card, contact Fred Haag at (703) 838-0033, ext. 329 or fhaag@amga.org.

Payment Information

Amount to Charge :
Payment Method :
Name on Card :
Card # :
Expires:
PO # :

Your form submission WILL be encrypted using SSL to ensure your privacy.

AMGA | One Prince Street, Alexandria, VA 22314-3318
(703) 838-0033 phone (703) 548-1890 fax
image widget