Organization Name
Contact First Name
Contact Last Name
Email
Job Title
Phone Number
Organization Website
Organization Bio (under 250 words)
Products/Services to Exhibit (under 50 words)
Do you intend to sell products/services at your booth? Please select Yes No
Please provide a brief description of the products/services for sale. If literary items are to be sold, please provide the title, a summary, and themes.
Name of Business as it Will Appear on Booth Sign
Booth Type: Please select Regular 8'x8' - $2,100 Nonprofit 8'x8' - $800
Please review the exhibitor floor plan above and select your top 3 booth choices:
Location 1:
Location 2:
Location 3:
Do you have a preference of another organization you would like to be near or away from (a competitor)?
Are you interested in becoming a NAMICon sponsor? If yes, Someone from our team will contact you shortly. Please select Yes No
How did you hear about this opportunity?
Please check the box to acknowledge the Hold Harmless Clause: The exhibitor assumes the entire responsibility and liability for losses, damages, and claims arising out of exhibitor's activities on the Hotel premises and will indemnify, defend, and hold harmless the Hotel, its owner, and its management company, as well as their respective agents, servants, and employees from any and all such losses, damages, and claims.
Please check the box to acknowledge the terms: Please check the box to agree the below terms and conditions: Refund Amount
Internal Notes
Refund Date
Refund Type Please select Partial Refund Full Refund
Confirmed Booth #
Packages Select Package Nonprofit 8'x8' - $800 Regular 8'x8' - $2,100 0.0
0.0
Payment Section Select Payment Method Authorize.net (Authorize.net)