2019 Exhibitor Registration

Contact Information

First Name
Last Name
Email
Phone

Organization Information

Organization Name
Mailing Address
City State Zip
Work Phone Work Fax
Website
Products/Services Exhibited

Exhibitor Options

CLICK HERE to view full descriptions of Exhibitor Options!

  • Platinum Sponsor - $1,500
  • Gold University Sponsor - $1,500
  • Silver Sponsor - $600
  • Bronze Sponsor - $325
  • Non-Profit Sponsor - $125
  • (NEW) Break Sponsor - $450
  •  

    **If you are paying your sponsorship by credit card, a 5% surcharge will be added. Please choose your Exhibitor option according to payment method.**

     
    Please choose the Event you wish to Exhibit:
    Please choose your Exhibitor option:
    Electricity is available (bring extension cord and power strip); Booth includes 6’ draped table and two chairs.

    Booth Attendees

    Platinum, Gold, Silver and Bronze get 2 complimentary registrations with lunches per day. NON-Profit sponsors get 1 complimentary registration with lunch per day. Only purchase extra lunches if you exceed the number of attendees covered in exhibitor fee.
    Please provide names of all attendees and number of additional lunches, if applicable.
    Attendee 1 Name
    Attendee 2 Name
    Attendee 3 Name
    Attendee 4 Name
    Extra Lunches

    LIABILITY: The Doubletree Worthington and the Ohio Environmental Health Association will take every precaution to protect against loss or injury, but shall not be responsible for any loss, damage, injury or theft that may occur to the Exhibit and/or Exhibitor’s employees during the meeting or the period covered by exhibit contract.

    If you are paying with Credit Card, PLEASE make sure the Billing Address entered at checkout matches the Billing Information on your Credit Card.

       - denotes required fields