AMGA 2019 IQL Exhibitor Registration

 



Please send only one registration for your entire organization.

2019 Institute for Quality Leadership (IQL19): Embracing Disruption
September 26-28, 2019
Delano Las Vegas
Las Vegas, Nevada
amga.org/IQL19

1. Fill out the form below and hit Submit.

2. Print out form and mail or fax to 703.548.1890

Colleen Stern
AMGA
One Prince Street
Alexandria, VA 22314-3318

Organization *
Address *
City *
State *
Zip Code *
Contact Person *
Contact Phone *
Contact E-mail *
Product Description:
Please provide a brief description (100 words or fewer) of your product or service. This description will be used in the conference app.
(Maximum characters: 500)
You have characters left.

Contribution Opportunities

Platinum Host @ $50000
Industry-Sponsored Breakout @ $25000
Welcome Reception Exhibit Space

Clear Selection

* Join AMGA as a partner today to receive additional savings. (The Executive Corporate Partnership nets out to be only $3,000, considering the discount for exhibit space!)

Support AMGA and receive all the benefits, including discounts on additional registrations and future meetings.

Premier Corporate Partner ($27,500) @ $27500
Executive Corporate Partner ($5,750)* @ $5750

On-site Representatives (name, title and city, state and email address):

  • Platinum Host receives 6 complimentary registrations
  • Industry-Sponsored Breakouts receive 4 complimentary registrations
  • Exhibitors receive 2 complimentary registrations
  • Additional registrations may be purchased

The first representative(s) listed will receive the complimentary conference registration(s).

1. Name and Title
City and State
E-mail
2. Name and Title
City and State
E-mail
3. Name and Title
City and State
E-mail
4. Name and Title
City and State
E-mail
5. Name and Title
City and State
E-mail
6. Name and Title
City and State
E-mail
Total Amount Enclosed

Payment in full is to be included with this contributor registration. Cancellations of exhibits received by August 12, 2019 will receive a refund (less a $500 processing fee). No refunds can be made after this date.

You may also fax the registration form to 703.548.1890 or mail with check to AMGA, Attn: Colleen Stern, One Prince Street, Alexandria, VA 22314-3318. For further information or to pay with credit card, contact Colleen Stern at 703.838.0033, ext. 329 or cstern@amga.org.

Payment Information

Amount to Charge :
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AMGA | One Prince Street, Alexandria, VA 22314-3318
(703) 838-0033 phone (703) 548-1890 fax
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